| NPI | 1992359061 |
|---|---|
| Doing Business As | LITTLE GOLD FISH CHILDREN'S DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PHU T LE CEO 510-517-5309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-07-27 |
| Last Update Date | 2019-07-27 |