| NPI | 1912203886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE NGOC TRAN President 858-530-2898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40749) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2021-06-25 |