| NPI | 1841636669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY TRUONG Practice Owner 619-441-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40198) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |