| NPI | 1891196705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE TRAN-NGUYEN Dentist 805-654-1961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 38341) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |