| NPI | 1194866160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THUC XUAN NGO Co Owner 626-855-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45739) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 47645) |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2020-08-22 |