| NPI | 1053521831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANH TAM N. TON CEO 818-704-0749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 46338) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |