| NPI | 1023563939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY TRONG HOANG President 760-233-5887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 47626) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2020-09-23 |