| NPI | 1154625960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY TRAN Owner Dentist 626-307-1064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 57683) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-01-07 |