| NPI | 1770155160 |
|---|---|
| Doing Business As | ABC KIDS DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | NJDEH NICK GHAZARYAN President 818-970-5070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-14 |