| NPI | 1699068031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIKOR DERBABIAN President 818-568-9054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 39145) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |