NPI | 1811103781 |
---|---|
Entity Type | Organization |
Authorized Contact | THONG T VUONG Office Manager 805-349-7999 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49951) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2020-08-22 |