NPI | 1710675210 |
---|---|
Doing Business As | HQ TEMPLE DENTIST |
Entity Type | Organization |
Authorized Contact | HIEP PHAM Doctor 949-232-0236 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-04-24 |
Last Update Date | 2023-05-28 |