| NPI | 1255876843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZIE CHARKCHYAN Dental Assistant/Supervisor 818-547-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 43639) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |