| NPI | 1548456130 |
|---|---|
| Doing Business As | SELECT DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | RAFFI ALBERT GUEDIKIAN Dentist/Owner 626-454-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 37424) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2008-04-02 |