| NPI | 1275010704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAO-CHAU LE NGUYEN President 714-759-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 62856) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2020-06-11 |