NPI | 1043709538 |
---|---|
Entity Type | Organization |
Authorized Contact | VACHIK DANOUKH Doctor/President 818-787-6400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 56048) |
Enumeration Date | 2018-05-09 |
Last Update Date | 2018-05-09 |