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Derrick Adomian, DDS

Dentist in Santa Monica, CA. Individual provider (NPI-1).

NPI number1336024868
StatusActive
Last updated in NPPESAug 6, 2025

Details

NPI
1336024868
Entity type
Individual (NPI-1)
Name
Derrick Adomian
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Aug 6, 2025
Certification date
Aug 6, 2025
Last updated
Aug 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist111524CAYes

Practice location

919 Montana Ave
Santa Monica, CA 90403-1504

Phone 818-602-0712

Mailing address

919 Montana Ave
Santa Monica, CA 90403-1504

Phone 818-602-0712

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