| NPI | 1508221128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUY CHAU TONG Dentist 714-587-9426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 46988) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 45397) |
| Enumeration Date | 2015-12-24 |
| Last Update Date | 2015-12-24 |