| NPI | 1689828873 |
|---|---|
| Former Legal Business Name | BEACH GROVE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MINH DUC NGUYEN President 714-890-1122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45505) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |