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 |