| NPI | 1124184098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFFI MARGOSSIAN Owner 818-842-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CA 36718) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |