NPI | 1619393113 |
---|---|
Doing Business As | HERMOSA DENTAL |
Entity Type | Organization |
Authorized Contact | HIEU TIN NGUYEN PHAM Manager 408-616-9175 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28275) |
Enumeration Date | 2014-03-10 |
Last Update Date | 2014-03-10 |