| NPI | 1073837548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOAN PHUONG DAO Dentist Owner 626-914-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 55534) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2010-03-26 |