| NPI | 1225478050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAHEL BALIKYAN Dentist 626-844-6674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 52966) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |