NPI | 1245447093 |
---|---|
Entity Type | Organization |
Authorized Contact | TRI MANH NGUYEN President 408-532-0545 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50422) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2022-01-11 |