| NPI | 1558872879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR DUC LUU Owner 714-655-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 55535) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2018-06-27 |