Individual
CHRISTIN DERONIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 DON CARLOS AVE, GLENDALE, CA 91208-2217
(818) 929-4107
Mailing address
1717 DON CARLOS AVE, GLENDALE, CA 91208-2217
(818) 929-4107
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
65120
CA
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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