| NPI | 1467705533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARY NGUYEN Dentist 925-292-5231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 57669) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA 58727) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |