| NPI | 1851957278 |
|---|---|
| Former Legal Business Name | TOOTHOPIA DENTAL |
| Entity Type | Organization |
| Authorized Contact | VIVIAN LUONG Orthodontist 714-855-6863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-09-05 |