NPI | 1982800744 |
---|---|
Entity Type | Organization |
Authorized Contact | SARKIS KESHISHYAN President 818-502-4840 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48727) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2022-11-04 |