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TRENT WESTERNOFF DMD MD INC & MARTIN MARDIROSIAN DDS MD APC GENERAL PA NPI 1376205047


NPI Information

NPI: 1376205047
Provider Name: TRENT WESTERNOFF DMD MD INC & MARTIN MARDIROSIAN DDS MD APC GENERAL PA
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1706 S ELENA AVE STE A
REDONDO BEACH, CA
ZIP 90277
Phone: (310) 375-0514
Get Directions

TRENT WESTERNOFF DMD MD INC & MARTIN MARDIROSIAN DDS MD APC GENERAL PA is an oral and maxillofacial surgery dentist in Redondo Beach, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. TRENT WESTERNOFF DMD MD INC & MARTIN MARDIROSIAN DDS MD APC GENERAL PA NPI is 1376205047. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1706 S ELENA AVE STE A
REDONDO BEACH, CA
ZIP 90277-715
Phone: (310) 375-0514
Fax: (310) 375-8625

The provider's authorized official is Martin H Mardirosian .
The authorized official title is Partner and has the following contact phone number (310) 375-0514.

The enumeration date for this NPI number is 10/11/2021 and was last updated on 10/11/2021.


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
11223S0112XDentistOral and Maxillofacial SurgeryYes

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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