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 |