| NPI | 1871700666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANH TAM N TON CEO 323-267-1622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 46338) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |