| NPI | 1417497330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TU QUYNH NGUYEN Provider 1714-602-6327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49617) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |