Organization · Type 2 NPI
Rita T. Deragobian Dds, Inc.
Oral and Maxillofacial Surgery (Dentist) · Glendora, CA
NPI number
1295227288
Active
Practice location
1435 E Route 66 Ste D
Glendora, CA 91740-3748
Fax (626) 914-0019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
| Dental Clinic/Center | 261QD0000X | 55480 (CA) |
Oral and Maxillofacial Surgery (Dentist): 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.
About NPI 1295227288
Rita T. Deragobian Dds, Inc.'s National Provider Identifier is 1295227288, issued on Jun 5, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Glendora, CA. The record was last updated on Jan 8, 2020.