| NPI | 1841444585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL JEAN OHANNESSIAN President 909-386-3650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 54182) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2014-09-25 |