| NPI | 1023558848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY OHANIAN Orthodontist 626-500-0626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 59013) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |