| NPI | 1548401318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMEN TUMANYAN Owner 636-978-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MO 200214199) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |