| NPI | 1669193777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANG H LE Owner Dentist 949-344-6516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2023-02-23 |