| NPI | 1316540776 |
|---|---|
| Doing Business As | YOUR DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | CAROLINE OSSAIAN Dentist 818-849-5077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |