| NPI | 1114740149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAROUIR ARSHAG DEIRMENJIAN Owner/ CEO 310-497-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223E0200X Dentist Endodontics | |
| 1223P0221X Dentist Pediatric Dentistry | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2024-11-07 |