| 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 |