| NPI | 1801035381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTRANIG GARY KELLEYAN CEO 626-280-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52409) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-02-06 |