| NPI | 1235406331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADEZHDA SARGSYAN President 559-273-4696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 55210) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |