| NPI | 1568594588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BICH-THUY HOANG Associate 562-861-0985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38320) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 38316) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |