| NPI | 1194040147 |
|---|---|
| Doing Business As | LA CHOLLA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | NAM L NGUYEN CEO 520-505-4858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 7458) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2010-04-02 |