| NPI | 1528576394 |
|---|---|
| Doing Business As | RIVERSIDE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | TRANG THUY NGUYEN Partner 714-251-1614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 58041) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 56206) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |