| NPI | 1629109657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNG H NGUYEN President 760-740-0409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44967) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |