| NPI | 1336675800 |
|---|---|
| Doing Business As | BIXBY KNOLLS MODERN DENTISTRY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | KINH LA-PHAM Owner Dentist 310-579-6465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |