| NPI | 1396744629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY MINH NGUYEN Orthodontist/Owner 909-646-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 52662) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2011-07-06 |