| NPI | 1760780910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAN TRUNG NGHIEM President 714-800-9483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 57467) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-03-11 |