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Rita T. Deragobian Dds, Inc.
Dental Clinic/Center in Glendora, California
NPI 1295227288

Rita T. Deragobian Dds, Inc. is a Dental Clinic/Center based in Glendora, CA and is specialized in Dental. Rita T. Deragobian Dds, Inc. practices in Glendora, CA. The NPI Number for Rita T. Deragobian Dds, Inc. is 1295227288 and holds a License No. (California).

The current practice location address for Rita T. Deragobian Dds, Inc. is 1435 E Route 66 Ste D, Glendora, CA and can be reached out via phone at 626-914-3900 and via fax at 626-914-0019.

Location: 1435 E Route 66 Ste D, Glendora, CA, 91740-3748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295227288
Provider Name
Rita T. Deragobian Dds, Inc.
Credential
Provider Entity Type
Organization
Address
1435 E Route 66 Ste D, Glendora, CA, 91740-3748
Phone Number
626-914-3900
Fax Number
626-914-0019
Provider Enumeration Date
06/05/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1435 E Route 66 Ste D
City
Glendora
State
California
Zip
91740-3748
Phone Number
626-914-3900
Fax Number
626-914-0019
person
Provider Business Mailing Address Details
Address
1435 E Route 66 Ste D
City
Glendora
State
California
Zip
91740-3748
Phone Number
626-914-3900
Fax Number
626-914-0019
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
55480 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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