| NPI | 1487976759 |
|---|---|
| Doing Business As | PRO DENTISTA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TERESA HAYRAPETIAN Consultant 818-262-6114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |