NPI | 1003977562 |
---|---|
Doing Business As | SOUTH VALLEY DENTAL PRACTICE |
Entity Type | Organization |
Authorized Contact | HOANG TUAN HUY LA President 559-738-1078 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 44914) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2020-08-22 |