| NPI | 1750045753 |
|---|---|
| Doing Business As | DENTISTS OF PASADENA ON LAKE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARTIN A. GALSTYAN Owner 626-765-3527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |