| NPI | 1568687721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUYEN THUC DUONG President 408-923-3073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 42146) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2020-05-28 |