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Individual

ARA A DERKEJIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
38745 TIERRA SUBIDA AVE, SUITE # 150, PALMDALE, CA 93551-4540
(661) 272-9091
Mailing address
38745 TIERRA SUBIDA AVE, SUITE # 150, PALMDALE, CA 93551-4540
(661) 272-9091

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55989
CA

Other

Enumeration date
12/12/2007
Last updated
01/13/2008
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