| NPI | 1225137573 |
|---|---|
| Doing Business As | RIVER LAKES DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PHI C HUYNH Owner Dds 661-829-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40130) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 43860) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 37440) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 49767) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2013-05-06 |