| NPI | 1912304619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR VU MAI Dmd/Owner 949-587-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 63879) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-12-16 |