| NPI | 1871808568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE DAO NGUYEN Secretary 714-791-4974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53018) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |