| NPI | 1801298823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY THU HOANG Dentist 714-345-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 057374-1) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |