NPI | 1710238944 |
---|---|
Entity Type | Organization |
Authorized Contact | KEREN T NGUYEN Dentist 714-962-2300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47296) |
Enumeration Date | 2012-09-27 |
Last Update Date | 2012-09-27 |