| NPI | 1235698820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NHAN H DANG President/CEO 909-319-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 126800000X Dental Assistant | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |