| NPI | 1881102531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAO KIM PHAM-NGUYEN Owner 714-532-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 60295) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |