| 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 |