| NPI | 1710418827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BINH PHAN President And CEO 562-841-5062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 53099) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |