| NPI | 1396944989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VRAM J KARGODORIAN Dentist 818-701-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 39820) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |