| NPI | 1225421324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MING YING TRUONG President 949-646-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 57645) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |