NPI | 1295066025 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN THUC TRUONG Doctor 310-839-8831 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53640) |
Enumeration Date | 2010-01-18 |
Last Update Date | 2010-01-18 |