# DERHARTOUNIAN DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497289029
- **Authorized official:** MR. HENRIK DERHARTONIAN (V.P)
- **Authorized official phone:** (323) 725-6797

## Contact information

- **Practice address:** 4542 RINETTI LN, LA CANADA FLINTRIDGE, CA 91011-3359
- **Practice address phone:** (818) 495-3141
- **Mailing address:** 4542 RINETTI LN, LA CANADA FLINTRIDGE, CA 91011-3359
- **Mailing address phone:** (818) 495-3141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 41394 | CA | Yes |

## Other

- **Enumeration date:** 04/20/2017
- **Last updated:** 04/20/2017