| NPI | 1568625358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LISA TRAN President 714-850-9121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49816) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |