| NPI | 1942677752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE THANH HA BUI-TILLMAN Dentist 714-531-5175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 29401) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |