| NPI | 1730338138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUY TRAN Owner 760-453-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 51663) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA 51613) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |