| NPI | 1306352695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN HIEN LE Dentist/Owner 619-280-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 56789) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |