| NPI | 1184925687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUSINE VAHAGN KIRAKOSIAN Dentist /Owner 818-334-3692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 57157) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |