| NPI | 1578738548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTENE THUY DOAN Doctor 619-265-2467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 49874) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2014-05-06 |