Organization
DENTAL WONDERLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA DEIRMENJIAN DDS (OWNER)
(818) 891-1600
Entity
Organization
Contact information
Practice address
8761 VAN NUYS BLVD, PANORAMA CITY, CA 91402-2401
(818) 891-1600
(818) 891-9571
Mailing address
8761 VAN NUYS BLVD, PANORAMA CITY, CA 91402-2401
(818) 891-1600
(818) 891-9571
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
54849
CA
1223G0001X
General Practice Dentistry
52129
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
29281
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
43335
CA
Other
Enumeration date
04/23/2007
Last updated
09/11/2025
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