| NPI | 1497992929 |
|---|---|
| Doing Business As | MT VERNON DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NGUYEN DINH PHAM CEO 661-873-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 47776) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 47287) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |