| NPI | 1326500844 |
|---|---|
| Doing Business As | SOUTH LAKE DENTAL, DENTAL OFFICE OF DR. MICHAEL BALIKYAN |
| Doing Business As | SOUTH LAKE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BALIKYAN Owner/Dentist 626-844-6684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2020-05-21 |