| NPI | 1649984865 |
|---|---|
| Doing Business As | DENTAL BLVD & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SHANT TERTERYAN Owner 818-665-5113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-31 |