Natalie Derboghossians

NPI 1366567430 - Dentist - 1223G0001X

NPI Details
NPI 1366567430
Gender Female
Enumeration Date 03/20/2007
Last Updated 07/24/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
2340 LAKE AVE
ALTADENA CA, 91001-2449, US
Phone (818) 319-3197
Fax
Business Location
433 N ALTADENA DR
#2
PASADENA CA, 91107-2558, US
Phone (818) 319-3197
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 55001
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According to our database, Natalie Derboghossians NPI is 1366567430, taxonomy code is 1223G0001X and license number is 55001, license state is located at California. Natalie Derboghossians physically located at 2340 Lake Ave, Altadena CA, 91001-2449. NPI Number Natalie Derboghossians has the Individual type.

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1366567430 NPI number is provided on an as is basis without warranty of any kind. 1366567430 is maintained by the National Plan & Provider Enumeration System. The contents of Natalie Derboghossians are for informational purposes only.