| NPI | 1841016128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAREN UTUDJIAN Owner 818-434-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |