| NPI | 1679771653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN NGUYEN T NGUYEN President Dentist 626-299-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 34530) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |