| NPI | 1417035809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAM THI DIEM LE Owner 714-751-5538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41948) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |