| NPI | 1750521365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY TRUNG-QUY NGUYEN President 707-527-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43828) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |