| NPI | 1588121248 |
|---|---|
| Doing Business As | LOS CERRITOS DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | TRINH THI BUI President 714-496-6389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2020-05-01 |