| NPI | 1770107252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFFIE GARABEDIAN Dds/Owner 949-317-3197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |