| NPI | 1902011794 |
|---|---|
| Doing Business As | 1ST IMPRESSIONS DENTAL & DENTURE |
| Entity Type | Organization |
| Authorized Contact | QUOC W NGO Denturist Owner 2067-638-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 122400000X Denturist |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |