| NPI | 1164615027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DU HUU NGUYEN Dentist/President 909-599-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 49165) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2009-12-11 |