| NPI | 1720472723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERICK GHARIBIAN President 310-854-6107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48602) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |