| NPI | 1932688603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT K. BUI President 949-231-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 53972) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |