| NPI | 1578863395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHEN GHAZARIAN President/Dentist 323-722-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 35398) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |