NPI | 1649781758 |
---|---|
Entity Type | Organization |
Authorized Contact | GAYANE A MATULIAN Dentist 323-660-5522 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE 44214) |
Enumeration Date | 2017-10-16 |
Last Update Date | 2018-03-17 |