| NPI | 1174724447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE G ALEMIAN Office Manager 626-294-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 46302) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 46302) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2011-06-02 |