Individual provider · Type 1 NPI

Mark Deukmedjian, DDS, M.S.D.

Orthodontics and Dentofacial Orthopedics Dentistry · Northridge, CA

NPI number 1992831812 Active

Practice location

11155 Tampa Ave
Northridge, CA 91326-2254

Call (818) 360-3636 Map

Fax (818) 363-4002

Mailing address

12018 Louise Ave
Granada Hills, CA 91344-2450

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	43778 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1992831812

Mark Deukmedjian, DDS, M.S.D.'s National Provider Identifier is 1992831812, issued on Feb 26, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Northridge, CA. The record was last updated on Jul 8, 2007.