| NPI | 1659435519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO DER BOGHOSIAN President 818-785-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 31245) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2014-03-10 |