Ankin Deragobian, DDS Valid NPI
Individual provider · General Practice Dentistry · Loma Linda, CA
- NPI
- 1467760041
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 59757 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2010-09-17
- Last updated
- 2010-09-17
Practice location
25997 Lawton Ave
Loma Linda, CA 92354
(909) 747-4861