NPI | 1649055088 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN N. TRANNGUYEN President And Clinical Director 310-999-7333 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
Enumeration Date | 2023-08-25 |
Last Update Date | 2024-01-21 |