| NPI | 1083229025 |
|---|---|
| Doing Business As | BEACH KIDS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA LANPHUONG NGUYEN President 714-398-7299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2023-08-10 |