| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/27/2018 |
| Last Update Date | 09/27/2018 |
| Medicare PECOS PAC ID | 2264845551 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1609246008 PECOS PAC ID: 3173936465 Enrollment ID: I20210106002951 |
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