| NPI | 1639317795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAT QUOC NGUYEN President 626-280-6733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 46660) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |