| NPI | 1417502592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARKADY TSIBEL President 626-796-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| 1223P0300X Dentist Periodontics | |
| 1223P0700X Dentist Prosthodontics | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| 1223E0200X Dentist Endodontics | |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |