| NPI | 1932654779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANH V NGUYEN Partner 714-473-5479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 53019) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |