NPI | 1578579835 |
---|---|
Doing Business As | MENLO PARK DENTAL EXCELLENCE |
Entity Type | Organization |
Authorized Contact | CHAULONG THI NGUYEN President Owner 650-838-0260 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 47764) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2013-08-26 |