| 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 |