| NPI | 1255480620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VARTAN L THOMAS President 323-587-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 40992) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |