| NPI | 1629588249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAHE BOGHOSSIAN General Dentist 818-400-6229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 101341) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |