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DERHARTOUNIAN DENTAL CORPORATION NPI 1033251970


NPI Information

NPI: 1033251970
Provider Name: DERHARTOUNIAN DENTAL CORPORATION

Doing Business As: PACIFIC DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
111 S GARFILED AVE
# 101
MONTEBELLO, CA
ZIP 90640
Phone: (323) 725-6797
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DERHARTOUNIAN DENTAL CORPORATION is a general practice dentist in Montebello, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DERHARTOUNIAN DENTAL CORPORATION NPI is 1033251970. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pacific Dental Group.

The provider's business location address is:

111 S GARFILED AVE
# 101
MONTEBELLO, CA
ZIP 90640-800
Phone: (323) 725-6797
Fax: (323) 725-7692

The provider's authorized official is Harmik Derhartounian .
The authorized official title is President,ceo and has the following contact phone number (323) 725-6797.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 10/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice41394CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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