| NPI | 1801054978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY N PHAM President Owner 626-792-6109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43649) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |