NPI | 1114478203 |
---|---|
Doing Business As | BURBANK VALLEY DENTAL |
Entity Type | Organization |
Authorized Contact | MARIANNA GHULARYAN Dentist 818-536-8855 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 61407) |
Enumeration Date | 2016-10-24 |
Last Update Date | 2016-10-24 |