Organization
B. DEIRMENJIAN, DDS, INC.
Active
Other names
Smiles West
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAROUIR DEIRMENJIAN D.D.S. (CEO)
(310) 923-6981
Entity
Organization
Contact information
Practice address
12940 FOOTHILL BLVD., C, SN FERNANDO, CA 91340
(818) 408-5100
(818) 408-5111
Mailing address
260 S GLENDORA AVE, 200, WEST COVINA, CA 91790-3041
(626) 214-1900
(626) 214-1954
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40804
CA
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225097215
—
CA
Enumeration date
11/04/2011
Last updated
11/04/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us