| NPI | 1376942854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRANG K. NGUYEN Office Manager 408-888-5977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: CA aef 1314) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |