Individual
DR. MARK DEUKMEDJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
11155 TAMPA AVE, NORTHRIDGE, CA 91326-2254
(818) 360-3636
(818) 363-4002
Mailing address
12018 LOUISE AVE, GRANADA HILLS, CA 91344-2450
(818) 723-9015
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
43778
CA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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