| NPI | 1275876203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MY TRAN General Partner 702-755-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 42434) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 46907) |
| 122300000X Dentist (Licence: CA 55892) | |
| 122300000X Dentist (Licence: CA 56027) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |