| NPI | 1801459516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN BABADJANIAN Owner 818-468-5186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 122300000X Dentist |
| 261QD0000X Clinic/Center, Dental | |
| 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-07-26 |