Individual
DERRICK ADOMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
919 MONTANA AVE, SANTA MONICA, CA 90403-1504
(818) 602-0712
Mailing address
919 MONTANA AVE, SANTA MONICA, CA 90403-1504
(818) 602-0712
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
111524
CA
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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