| NPI | 1255721916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THIEN NGUYEN President 626-378-4564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45511) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |