NPI | 1134416217 |
---|---|
Former Legal Business Name | DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | YVETTE M GULESSERIAN President 818-429-9157 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA d46598) |
Enumeration Date | 2011-07-08 |
Last Update Date | 2011-07-08 |