| NPI | 1598166548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUREN CHTCHYAN CEO 323-665-9693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 50230) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2022-03-10 |