| NPI | 1215102637 |
|---|---|
| Doing Business As | CALIFORNIA DENTAL GROUP OF WEST SANTA ANA |
| Entity Type | Organization |
| Authorized Contact | MICHELLE TRUC BUI President 714-775-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53054) |
| Enumeration Date | 2008-04-26 |
| Last Update Date | 2008-04-26 |