| NPI | 1548387384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAM-RENE NGUYEN President 623-932-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ 5074) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |