| NPI | 1295081107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLA THANH-NGOC PHAM President 714-850-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42761) |
| Enumeration Date | 2012-07-29 |
| Last Update Date | 2012-07-29 |