NPI | 1902542541 |
---|---|
Doing Business As | TARZANA SMILE CENTER |
Entity Type | Organization |
Authorized Contact | ZAREH KOUYOUMDJIAN Owner 818-515-2255 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 124Q00000X Dental Hygienist |
1223P0300X Dentist, Periodontics | |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
Enumeration Date | 2022-05-06 |
Last Update Date | 2022-05-06 |