NPI | 1124244348 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES ANTHONY NGUYEN President 310-946-1052 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 34391) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2020-08-22 |