| NPI | 1255677878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAOCHAU DUONG President 562-533-0169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55112) |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2017-02-08 |