| NPI | 1609442193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHUONG TRAN Owner Doctor 714-839-3926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-06-03 |