RUPEN DERBOGHOSIAN ITUTMAZIAN

VAN NUYS, CA
NPI1699831065
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  55226)
Additional Taxonomies122300000X Dentist
(Licence: NV  5411)
122300000X Dentist
(Licence: RI  cden03106)
122300000X Dentist
(Licence: NH  03895)
Enumeration Date2006-12-29
Last Update Date2015-02-25
Business Address
-- RUPEN DERBOGHOSIAN ITUTMAZIAN DDS
6812 WOODMAN AVE
VAN NUYS, CA 91405-4208
Phone number: 818-350-3451
Mailing Address
-- RUPEN DERBOGHOSIAN ITUTMAZIAN DDS
75 PONCETTA DR APT 327
DALY CITY, CA 94015-4810
Phone number: 818-350-3451