| NPI | 1164572053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOVSEP NARGIZYAN Owner 909-885-8707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51112) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2024-05-17 |