| NPI | 1518021500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUNG THI PHUONG NGUYEN President 619-281-2186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 42749) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |