NPI | 1912144114 |
---|---|
Doing Business As | SURF CITY DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | TOM T VU Dentist 714-357-9958 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Enumeration Date | 2009-01-10 |
Last Update Date | 2014-08-15 |