NPI | 1316495880 |
---|---|
Doing Business As | DR. LY VINA DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | QUY VAN LY President 714-305-5199 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40665) |
Enumeration Date | 2016-09-14 |
Last Update Date | 2016-09-14 |