| NPI | 1932157914 |
|---|---|
| Former Name | VIVIAN L ONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 25435) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |