| NPI | 1902935364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER BALIAN President 818-505-8819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34301) |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2020-08-22 |