NPI | 1427055763 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE S. GHOLDOIAN President Owner 562-923-8141 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 17684) |
Enumeration Date | 2005-07-01 |
Last Update Date | 2020-08-22 |