| NPI | 1316003700 |
|---|---|
| Doing Business As | MAIN STREET FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY THIEN BUI President C.E.O. 714-537-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34593) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |