| NPI | 1750577185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERIK ALEXANIANS Dentist 818-362-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51319) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |