NPI | 1417156522 |
---|---|
Entity Type | Organization |
Authorized Contact | THO BAO NGUYEN President 714-839-1020 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41496) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2007-07-18 |