Ara A Derkejian Valid NPI
Individual provider · Dentist · Palmdale, CA
- NPI
- 1154504140
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 55989 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-12-12
- Last updated
- 2008-01-13
Practice location
38745 Tierra Subida Ave, Suite # 150
Palmdale, CA 93551-4540
(661) 272-9091