| NPI | 1952944639 |
|---|---|
| Doing Business As | GENESIS DENTAL ESTHETICS |
| Entity Type | Organization |
| Authorized Contact | TEODIK BAGHDASARIAN President 818-624-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2020-05-07 |