| NPI | 1235284118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFFI MALKOUNIAN President 626-794-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 45144) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2013-07-22 |