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 |