| NPI | 1154878544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN YAGOUBIAN Doctor 818-404-2104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA OMS105) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |