| NPI | 1700910213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHUONG-LY THI BUI Owner 714-839-9925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42810) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |