| NPI | 1346451762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON T NGUYEN President 562-599-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 47973) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |