| NPI | 1629291570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAUBIN D NGUYEN President 310-518-7068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46911) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |