NPI | 1326501891 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHNNY V NIGOGHOSIAN Owner 909-596-1155 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2019-04-10 |
Last Update Date | 2020-04-16 |