Organization
KRIKOR DERBABIAN, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRIKOR DERBABIAN D.D.S. (PRESIDENT)
(818) 568-9054
Entity
Organization
Contact information
Practice address
724 E CHAPEL ST, SANTA MARIA, CA 93454-4524
(805) 928-0340
(805) 928-7580
Mailing address
724 E CHAPEL ST, SANTA MARIA, CA 93454-4524
(805) 928-0340
(805) 928-7580
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
39145
CA
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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