| NPI | 1750057535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARMICK TAROIAN President 818-260-0274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223G0001X Dentist General Practice | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-20 |