NPI | 1467583187 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHAN NGUYEN TRANG NGUYEN Dentist President 714-897-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 34530) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2007-07-11 |