Rupen Derboghosian Itutmazian DDS

NPI 1699831065 - Dentist - 122300000X

NPI Details
NPI 1699831065
Gender Male
Enumeration Date 12/29/2006
Last Updated 02/25/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
6812 WOODMAN AVE
VAN NUYS CA, 91405-4208, US
Phone (818) 350-3451
Fax
Business Location
75 PONCETTA DR APT 327
DALY CITY CA, 94015-4810, US
Phone (818) 350-3451
Fax
Toxanomy
Taxonomy Code 122300000X
License State Nevada
License Number 5411
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According to our database, Rupen Derboghosian Itutmazian DDS NPI is 1699831065, taxonomy code is 122300000X and license number is 5411, license state is located at Nevada. Rupen Derboghosian Itutmazian DDS physically located at 6812 Woodman Ave, Van Nuys CA, 91405-4208. NPI Number Rupen Derboghosian Itutmazian DDS has the Individual type.

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1699831065 NPI number is provided on an as is basis without warranty of any kind. 1699831065 is maintained by the National Plan & Provider Enumeration System. The contents of Rupen Derboghosian Itutmazian DDS are for informational purposes only.