| 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 |