NPI | 1295937811 |
---|---|
Other Name | WEST DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | MICHAEL TUAN DAO Primary Dentist 714-785-1352 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA CA46776) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA CA43931) |
Enumeration Date | 2007-06-05 |
Last Update Date | 2007-08-03 |