| NPI | 1205016458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN LONG NGUYEN Dentist/Owner 714-379-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 37358) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2021-05-17 |