| NPI | 1194898379 |
|---|---|
| Doing Business As | ERIC DER OVANESSIAN DDS PS INC |
| Entity Type | Organization |
| Authorized Contact | ERIC DER OVANESSIAN President 425-643-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 7600) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 39144) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2012-08-06 |