| NPI | 1225107139 |
|---|---|
| Doing Business As | LONGWOOD DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | HOLME TRUONG COOLEY Owner 714-491-1338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40564) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |