| NPI | 1528238615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUYEN QUANG NGUYEN Dentist 408-286-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 45940) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |