| NPI | 1659772457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOA VAN TRUONG Manager 310-951-5233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42704) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |