| NPI | 1447650742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMEN MIRZAYAN Owner 818-399-3509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 45499) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |