| NPI | 1881041853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HA NGOC LE President 706-336-8318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA DN013713) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |