| NPI | 1124555123 |
|---|---|
| Doing Business As | BLOSSOM VALLEY SMILES DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LINDA HUYNH President 408-256-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 55181) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 55111) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2022-07-21 |