| NPI | 1144712456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY TRAN Dentist 714-553-5288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA DDS-56325) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2021-05-07 |