| NPI | 1952901753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIEP DUY PHAM Doctor 949-232-0236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2023-03-13 |