# B. DEIRMENJIAN, DDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smiles West
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194943340
- **Authorized official:** DR. BAROUIR DEIRMENJIAN DDS (CEO)
- **Authorized official phone:** (310) 923-6981

## Contact information

- **Practice address:** 3150 E IMPERIAL HWY STE 210, LYNWOOD, CA 90262-3226
- **Practice address phone:** (310) 667-4444
- **Practice address fax:** (310) 608-5444
- **Mailing address:** 260 S GLENDORA AVE, 2ND FLOOR, WEST COVINA, CA 91790-3041
- **Mailing address phone:** (626) 214-1900
- **Mailing address fax:** (626) 214-1954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 08/03/2011