NPI | 1609301704 |
---|---|
Doing Business As | AAVA DENTAL OF LONG BEACH |
Entity Type | Organization |
Authorized Contact | ABRAHAM GHORBANIAN CEO/President 949-450-0076 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 53515) |
Enumeration Date | 2017-04-26 |
Last Update Date | 2017-04-26 |