| NPI | 1104689959 |
|---|---|
| Doing Business As | ALTAIR DENTAL CENTER DENTAL OFFICE OF EDWARD ALLAN DDS & ASS., INC. |
| Entity Type | Organization |
| Authorized Contact | EDWARD VLADIMIR ALLAN CEO 310-447-8836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |