| NPI | 1790942472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRE HK TAVITIAN President 818-955-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 40891) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |