| NPI | 1699345934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEN BAKHTAMIAN Dentist 818-248-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-09-29 |