Deukmedjian, Mark
Deukmedjian, Mark is an individual health care provider with primary practice located at 11155 Tampa Ave , Northridge CA 91326-2254. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Deukmedjian, Mark can be contacted via phone (818) 360-3636.Contact Information
Primary practice address
11155 Tampa Ave
Northridge CA 91326-2254
Phone: (818) 360-3636
Fax: (818) 363-4002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 43778 | California |
Profile Details
| NPI number | 1992831812 |
|---|---|
| LBN Legal business name | Deukmedjian, Mark |
| Credentials | D.D.S., M.S.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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