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General NPI Number Information
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NPI Number | 1689440141
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Entity Type | Organization
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Legal Business Name | DERONIAN & OGANESYAN DDS INC.
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Dates
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Enumeration Date | 11/27/2023
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 6063 VINELAND AVE
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-4917
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Country | US
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Telephone | 818-929-4106
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Fax |
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Provider Business Mailing Address
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Address Line | 1222 S GLENDALE AVE
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City | GLENDALE
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State | CA
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Zip | 91205-3297
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Country | US
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Telephone | 818-929-4106
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. CHRISTIN DERONIAN
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Credential | DDS
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Telephone | 818-929-4106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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