| NPI | 1619402716 |
|---|---|
| Doing Business As | AAVA DENTAL OF LAKE ELSINORE |
| 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 |