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 |