Organization
BAROUIR DEIRMENJIAN DENTAL CORPORATION
Active
Other names
Smiles West of San Bernardino
Organization subpart
No
Provider details
NPI number
Authorized official
BAROUIR ARSHAG DEIRMENJIAN (OWNER/CEO)
(310) 497-2211
Entity
Organization
Contact information
Practice address
1428 N WATERMAN AVE STE A, SAN BERNARDINO, CA 92404-5382
(909) 889-1111
Mailing address
12640 HESPERIA RD STE A, VICTORVILLE, CA 92395-7753
(310) 497-2211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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