| NPI | 1952618183 |
|---|---|
| Doing Business As | CANDLEWOOD SMILES DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BACH NGUYEN Owner 562-634-5042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-11-02 |