| NPI | 1316257710 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | MANH CHI TRUONG General Dentist Provider/President 408-390-1384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23516) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |