Organization
BAROUIR DEIRMENJIAN DENTAL CORPORATION
Active
Other names
Elite Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
BAROUIR ARSHAG DEIRMENJIAN (OWNER/CEO)
(310) 497-2211
Entity
Organization
Contact information
Practice address
720 BROOKSIDE AVE STE 101, REDLANDS, CA 92373-5189
(909) 798-4111
Mailing address
12640 HESPERIA RD STE A, VICTORVILLE, CA 92395-7753
(760) 241-3336
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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