Organization
B. DEIRMENJIAN, DDS, INC.
Active
Other names
Smiles West
Organization subpart
No
Provider details
NPI number
Authorized official
BAROUIR DEIRMENJIAN DDS (CEO)
(310) 923-6981
Entity
Organization
Contact information
Practice address
31500 GRAPE ST STE 8, LAKE ELSINORE, CA 92532-9702
(951) 471-1628
(951) 471-1638
Mailing address
260 S GLENDORA AVE, 2ND FLOOR, WEST COVINA, CA 91790-3041
(626) 214-1900
(626) 214-1952
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/23/2007
Last updated
08/03/2011
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