Barouir Deirmenjian Dental Corporation
Organization Active NPI General Practice Dentistry · Lake Forest, CA
NPI 1124760160 · NPPES record last updated Apr 11, 2022
Key facts
- NPI
- 1124760160
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- BAROUIR DEIRMENJIAN DENTAL CORPORATION
- Practice address
- 23082 Ridge Route Dr Ste a
Lake Forest, CA 92630-3691 - Phone
- (760) 241-3336
- NPI assigned
- Apr 11, 2022
- Organization subpart
- No
Authorized official
- Name
- Barouir Arshag Deirmenjian
- Title
- Owner/Ceo
- Phone
- (310) 497-2211
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- Barouir Deirmenjian Dental Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | |||
| Endodontics |
1223E0200X | |||
| General Practice Dentistry |
1223G0001X | Yes | ||
| Pediatric Dentistry |
1223P0221X | |||
| Periodontics |
1223P0300X | |||
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | |||
| Dental Hygienist |
124Q00000X |
Addresses
Primary practice location
23082 Ridge Route Dr Ste a
Lake Forest, CA 92630-3691
Mailing address
12640 Hesperia Rd Ste a
Victorville, CA 92395-7753
Phone (760) 241-3336
Other names
- Smiles West of Lake Forest
Other providers in Lake Forest, CA
- Baran & Costa LLC
- Mahsa Barkhi
- Carol Ann Barnes-Blanks
- Braulio Antonio Baron
- Scott Cummings Baron
- Guadalupe Barrera
- Stephen W Barsamian
- Lyra Barton
- Zakia Sadaat Bashir
- Mahasta Bastani
All providers in Lake Forest, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.