Christin V. Deronian, Dds., Inc. | |
1222 S Glendale Ave Unit 2 Glendale CA 91205-3261 | |
(818) 929-4106 | |
Not Available |
Full Name | Christin V. Deronian, Dds., Inc. |
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Speciality | Dentist |
Location | 1222 S Glendale Ave Unit 2, Glendale, California |
Authorized Official Name and Position | Christin Deronian (OWNER) |
Authorized Official Contact | 8189294106 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Christin V. Deronian, Dds., Inc. 1222 S Glendale Ave Unit 2 Glendale CA 91205-3261 Ph: () - | Christin V. Deronian, Dds., Inc. 1222 S Glendale Ave Unit 2 Glendale CA 91205-3261 Ph: (818) 929-4106 |
NPI Number | 1285119974 |
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Provider Enumeration Date | 09/27/2018 |
Last Update Date | 09/27/2018 |
Medicare PECOS PAC ID | 2264845551 |
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Medicare Enrollment ID | O20210105002422 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285119974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Provider Name | Christin Deronian |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1609246008 PECOS PAC ID: 3173936465 Enrollment ID: I20210106002951 |
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