Organization
DERHARTOUNIAN DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRIK DERHARTONIAN (V.P)
(323) 725-6797
Entity
Organization
Contact information
Practice address
4542 RINETTI LN, LA CANADA FLINTRIDGE, CA 91011-3359
(818) 495-3141
Mailing address
4542 RINETTI LN, LA CANADA FLINTRIDGE, CA 91011-3359
(818) 495-3141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41394
CA
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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