| NPI | 1639525744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUY CHAU TONG Dds/ Owner 714-775-0666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 46988) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |