| NPI | 1104397538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAL H. TRAN Owner 714-533-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2021-02-09 |