| NPI | 1164641049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARYSA SHULZHENKO President 818-890-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53649) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2011-09-14 |