Organization
ANKIN DERAGOBIAN D.D.S. INC.
Active
Organization
ANKIN DERAGOBIAN D.D.S. INC.
Active
Other names
Golden Smiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANKIN DERAGOBIAN DDS (OWNER/PRESIDENT)
(909) 481-8990
Entity
Organization
Contact information
Practice address
9635 MILLIKEN AVE STE 103, RANCHO CUCAMONGA, CA 91730-9004
(909) 481-8990
(909) 481-8875
Mailing address
9635 MILLIKEN AVE STE 103, RANCHO CUCAMONGA, CA 91730-9004
(909) 481-8990
(909) 481-8875
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
59757
CA
Other
Enumeration date
08/22/2014
Last updated
01/28/2015
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