| NPI | 1043412745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY TAI QUANG PHAM President 858-499-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41665) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2010-09-09 |