| NPI | 1689044521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORMOZ GOLIAN Pediatric Dentist 323-459-8760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 55584) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |