| Lena S Debaz Dmd Dental Practice | |
|
307 N Brea Blvd Brea CA 92821-4053 | |
| (714) 594-7009 | |
| Not Available |
| Full Name | Lena S Debaz Dmd Dental Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 307 N Brea Blvd, Brea, California |
| Authorized Official Name and Position | Lena Debaz (OWNER, GENERAL DENTIST) |
| Authorized Official Contact | 7145947009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lena S Debaz Dmd Dental Practice 307 N Brea Blvd Brea CA 92821-4053 Ph: (714) 594-7009 | Lena S Debaz Dmd Dental Practice 307 N Brea Blvd Brea CA 92821-4053 Ph: (714) 594-7009 |
| NPI Number | 1487128039 |
|---|---|
| Provider Enumeration Date | 01/16/2019 |
| Last Update Date | 01/16/2019 |
| Medicare PECOS PAC ID | 2668705682 |
|---|---|
| Medicare Enrollment ID | O20190606001434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487128039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Lena S Debaz |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255757647 PECOS PAC ID: 4284967209 Enrollment ID: I20190626003161 |
| Provider Name | Sofia K Uraizee |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1881135721 PECOS PAC ID: 0345593570 Enrollment ID: I20200624003549 |
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