ANKIN DERAGOBIAN D.D.S. INC.
Managed Care Organizations at Milliken Ave, Rancho Cucamonga, CA

License number
California 59757
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: DR. ANKIN DERAGOBIAN DDS
Title: OWNER/PRESIDENT
Phone: (909) 481-8990
Address
Address
9635 Milliken Ave STE 103, Rancho Cucamonga, CA 91730
National Provider ID: 1376942672
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Ankin Deragobian D.D.S. Inc

Rancho Cucamonga, CA  -  Loma Linda, CA

Industry:
Dentists
Doing business as:
Ankin Deragobian DDS
Registration:
Dec 20, 2013
Phone:
(909) 747-4861 (Phone)
Addresses:
9635 Milliken Ave, Rancho Cucamonga, CA 91730
25997 Lawton Ave, Loma Linda, CA 92354
State ID:
03626756
Business type:
Articles of Incorporation
President:
Ankin Deragobian (President)

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