| NPI | 1962626192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE THUY NGUYEN Manager 714-636-8468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39054) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2014-03-05 |