| NPI | 1518433986 |
|---|---|
| Doing Business As | ABC KIDS DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | NJDEH GHAZARYAN President 818-970-5070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |