| NPI | 1558484428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE MAIS SAGARIAN President 661-496-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43655) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2020-08-22 |