# DEIRMENJIAN DENTISTRY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** B DEIRMENJIAN DDS INC
- **Other names:** Smiles West of Covina
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770035677
- **Legal business name:** B DEIRMENJIAN DDS INC
- **Authorized official:** BAROUIR DEIRMENJIAN DDS (OWNER)
- **Authorized official phone:** (855) 705-3434

## Contact information

- **Practice address:** 470 W BADILLO ST, COVINA, CA 91723-1829
- **Practice address phone:** (626) 331-8287
- **Practice address fax:** (626) 331-5795
- **Mailing address:** 15643 SHERMAN WAY, SUITE 220, VAN NUYS, CA 91406-4135
- **Mailing address phone:** (855) 705-3434
- **Mailing address fax:** (855) 705-3399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 40804 | CA | Yes |

## Other

- **Enumeration date:** 10/27/2016
- **Last updated:** 10/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1356560494 | — | CA |
| 05 | — | 1649498817 | — | CA |