| 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 |