NPI | 1326267634 |
---|---|
Doing Business As | TUSTIN DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | MICHAEL J CHEN President 714-731-6677 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40216) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2020-08-22 |