| NPI | 1972715423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN KIEU Orthodontist 714-965-9553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA D37431) |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2020-08-22 |