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Organization

DEIRMENJIAN DENTISTRY INC

Active
Parent organization
B DEIRMENJIAN DDS INC
Other names
Smiles West of Covina
Organization subpart
Yes

Provider details

NPI number
Legal business name
B DEIRMENJIAN DDS INC
Authorized official
BAROUIR DEIRMENJIAN DDS (OWNER)
(855) 705-3434
Entity
Organization

Contact information

Practice address
470 W BADILLO ST, COVINA, CA 91723-1829
(626) 331-8287
(626) 331-5795
Mailing address
15643 SHERMAN WAY, SUITE 220, VAN NUYS, CA 91406-4135
(855) 705-3434
(855) 705-3399

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40804
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1356560494
CA
05
1649498817
CA
Enumeration date
10/27/2016
Last updated
10/27/2016
About Stedi
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  • EDI platform