| NPI | 1649336124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KIEU T NGUYEN Owner 714-895-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42380) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2014-03-17 |