| NPI | 1699949339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOLEEN NGUYEN Owner/Dentist 714-549-3180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 305S00000X Point of Service (Licence: CA 51117) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2021-11-04 |