| NPI | 1518140656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISHKHAN BAYRAKDARIAN President 559-222-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 50037) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2020-10-12 |