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Individual

DR. ANKIN DERAGOBIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
25997 LAWTON AVE, LOMA LINDA, CA 92354
(909) 747-4861
Mailing address
25997 LAWTON AVE, LOMA LINDA, CA 92354

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59757
CA

Other

Enumeration date
09/17/2010
Last updated
09/17/2010
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