Rita T Deragobian is a Dentist in Montclair, California. Rita T Deragobian practices all healthcare services and medical treatments related to Dentist. The NPI Number for Rita T Deragobian is 1578742953. The last update date is 2020-01-08.
Rita T Deragobian's current location address is 9509 Central Ave Ste D, Montclair, California. You can contact this provider via phone number 9093993330. The mailing address for Rita T Deragobian is 9509 Central Ave Ste D, Montclair, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rita T Deragobian |
|---|---|
| Address | 9509 Central Ave Ste D, Montclair, California |
| Phone Number | 9093993330 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1578742953 |
|---|---|
| Provider Enumeration Date | 2007-11-01 |
| Last Updated Date | 2020-01-08 |
Provider Mailing Address Detail
| Address | 9509 Central Ave Ste D |
|---|---|
| City | Montclair |
| State | California (CA) |
| Post Code | 917632400 |
| Phone Number | 9093993330 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 55480 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code assigned to Rita T Deragobian by the Centers for Medicare & Medicaid Services?
The Rita T Deragobian has been issued the NPI (National Provider Identifier) 1578742953, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Rita T Deragobian?
The Rita T Deragobian is physically situated at 9509 Central Ave Ste D, in the city of Montclair, state of CA, with the postal code 917632400.
What is the Rita T Deragobian's specialty and taxonomy code?
The Rita T Deragobian's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578742953 to Rita T Deragobian?
The Rita T Deragobian received its 1578742953 assignment from the Centers for Medicare & Medicaid Services on 2007-11-01.
When was the information regarding Rita T Deragobian, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Rita T Deragobian, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-01-08.