| NPI | 1992332472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THUAN ANTHONY NGUYEN Dds/Owner 714-797-5538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |