| NPI | 1346733573 |
|---|---|
| Doing Business As | TUSTIN VILLAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH K NGUYEN Dds 714-838-9912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 52762) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2019-10-18 |