NPI | 1306340047 |
---|---|
Doing Business As | LA KIDS DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | HAIG MASTIKIAN Dentist 818-945-9458 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 65022) |
Enumeration Date | 2018-03-19 |
Last Update Date | 2020-06-28 |