| NPI | 1396049565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE ELIZABETH NGUYEN President/Owner 714-229-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52441) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2014-01-15 |