| NPI | 1063669356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISHKHAN BAYRAKDARIAN Sole Mbr 818-522-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 50037) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |