| NPI | 1912234055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANH THY NGUYEN Director 916-706-1915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52440) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |