NPI | 1417073909 |
---|---|
Entity Type | Organization |
Authorized Contact | TIN HOANG NGUYEN President 626-286-9211 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 31090) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-08-22 |