| NPI | 1598347510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE DUONG PHAM Owner, Partner 310-849-4690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |