| NPI | 1588864524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMINEHT TAHMASSIAN Dentist 323-254-5547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 48034) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |