| NPI | 1356488829 |
|---|---|
| Doing Business As | EL PORTAL DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | KHANG CONG NGUYEN CEO 209-385-1479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51984) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2014-10-20 |