| NPI | 1245719772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT TRUONG Owner/Dentist 530-666-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 102940) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-10-03 |