| NPI | 1679760029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRANG TO Dentist 714-889-1263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52101) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 52121) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-02 |