| NPI | 1346454097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIEN TAM NGUYEN Dentist 408-347-1773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53020) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-03-07 |