| NPI | 1154462992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOVSEP NARGIZYAN Owner 760-342-1448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51112) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |