| NPI | 1841577517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMOND KOTIKIAN CEO 818-409-0925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 49568) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: CA A95221) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2012-07-03 |