| Mary L. Dimyan, Dds.inc | |
|
43 Peninsula Ctr # B Suite #2 Rolling Hills Estates CA 90274-3506 | |
| (310) 544-7044 | |
| (310) 544-7344 |
| Full Name | Mary L. Dimyan, Dds.inc |
|---|---|
| Speciality | Dentist |
| Location | 43 Peninsula Ctr # B, Rolling Hills Estates, California |
| Authorized Official Name and Position | Mary L Dimyan (PRESIDENT) |
| Authorized Official Contact | 3105447044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary L. Dimyan, Dds.inc 43 Peninsula Ctr # B Suite #2 Rolling Hills Estates CA 90274-3506 Ph: (310) 544-7044 | Mary L. Dimyan, Dds.inc 43 Peninsula Ctr # B Suite #2 Rolling Hills Estates CA 90274-3506 Ph: (310) 544-7044 |
| NPI Number | 1114000122 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114000122 | NPI | - | NPPES |
| 44163 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 44163 (California) | Primary |
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