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Organization

BAROUIR DEIRMENJIAN DENTAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BAROUIR DEIRMENJIAN (OWNER/CEO)
(310) 497-2211
Entity
Organization

Contact information

Practice address
510 BROADWAY STE 4, CHULA VISTA, CA 91910-5306
(619) 476-9400
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
10/19/2020
Last updated
02/24/2021
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