| NPI | 1720584790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LINH TRAN C Eo/Dentist 909-591-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 40124) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |