| NPI | 1144340092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANI TRINH LE Owner 408-254-2877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48737) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 46485) |
| Enumeration Date | 2007-04-01 |
| Last Update Date | 2020-08-22 |