| NPI | 1811756596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALYA SHAGRAMANOVA CEO/Dentist 818-653-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-15 |