| NPI | 1205359718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIGRAN OVSEPYAN President/Dentist 818-521-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 61421) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-07-21 |