NPI | 1528262169 |
---|---|
Entity Type | Organization |
Authorized Contact | TRANG BICH NGUYEN President 714-531-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 39994) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: CA 46332) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2020-08-22 |