NPI | 1679803241 |
---|---|
Doing Business As | BAY MESA DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | TUANKIET QUOC LY President 949-646-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48322) |
Enumeration Date | 2010-01-05 |
Last Update Date | 2010-01-05 |