| NPI | 1104345008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE NGOC PHAM President 443-799-4662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 64293) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |