| NPI | 1205052339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAT MINH VO President 909-883-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA CA40996) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2014-06-04 |