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 |