| NPI | 1134743123 |
|---|---|
| Former Legal Business Name | ANNIE ABOULIAN DENTAL GROUP DENTAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | ANNIE AGHAJANIAN-ABOULIAN Dentist 818-505-8083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2021-09-16 |