# B. DEIRMENJIAN, DDS, INC.

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

## Provider details

- **NPI number:** 1619195849
- **Authorized official:** DR. BAROUIR DEIRMENJIAN DDS (CEO)
- **Authorized official phone:** (310) 923-6981

## Contact information

- **Practice address:** 3428 WATT AVE STE B, SACRAMENTO, CA 95821-3624
- **Practice address phone:** (916) 485-1555
- **Practice address fax:** (916) 481-7111
- **Mailing address:** 260 S GLENDORA AVE, 2ND FLOOR, WEST COVINA, CA 91790-3041
- **Mailing address phone:** (626) 214-1900
- **Mailing address fax:** (626) 214-1952

## 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