| NPI | 1760931588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VARTAN TER POGHOSSIAN President 818-246-3736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 56017) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |