| NPI | 1629679667 |
|---|---|
| Former Legal Business Name | EDUARD AVETISYAN DDS INC |
| Entity Type | Organization |
| Authorized Contact | EDUARD AVETISYAN Dentist 323-798-5271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |