| NPI | 1659599124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA DEIRMENJIAN Owner 818-891-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 54849) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 52129) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 29281) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 43335) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |