Organization
TRENT WESTERNOFF DMD MD INC & MARTIN MARDIROSIAN DDS MD APC GENERAL PA
Active
Other names
Oral Surgery Partners
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN H MARDIROSIAN DDS, MD (PARTNER)
(310) 375-0514
Entity
Organization
Contact information
Practice address
1706 S ELENA AVE STE A, REDONDO BEACH, CA 90277-5715
(310) 375-0514
(310) 375-8625
Mailing address
1706 S ELENA AVE STE A, REDONDO BEACH, CA 90277-5715
(310) 375-0514
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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