| NPI | 1790959211 | 
|---|---|
| Doing Business As | SOUTH COAST DENTISTRY | 
| Entity Type | Organization | 
| Authorized Contact | BAOCHAU T DUONG Owner Partner 949-360-1021  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55112)  | 
| Enumeration Date | 2008-04-16 | 
| Last Update Date | 2008-04-16 |