| NPI | 1043474679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AN HONG VUONG Owner 714-444-2274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 45419) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 00067) |
| Enumeration Date | 2008-07-13 |
| Last Update Date | 2008-07-13 |