| NPI | 1417954801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE S. GHOLDOIAN President/Owner 562-869-4318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 17684) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2010-04-20 |