| NPI | 1447372321 |
|---|---|
| Doing Business As | MONTROSE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE S CHIBAARIAN Dentist 818-541-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 41821) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 42800) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-07-21 |