| Purita B Ebbay Dmd Inc | |
|
1105 E Plaza Blvd #c National City CA 91950 | |
| (619) 477-1577 | |
| (619) 477-6014 |
| Full Name | Purita B Ebbay Dmd Inc |
|---|---|
| Speciality | Dentist |
| Location | 1105 E Plaza Blvd, National City, California |
| Authorized Official Name and Position | Purita Bangasan Ebbay (PRESIDENT) |
| Authorized Official Contact | 6194771577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purita B Ebbay Dmd Inc 1105 E Plaza Blvd #c National City CA 91950 Ph: (619) 477-1577 | Purita B Ebbay Dmd Inc 1105 E Plaza Blvd #c National City CA 91950 Ph: (619) 477-1577 |
| NPI Number | 1033304910 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 09/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033304910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39789 (California) | Primary |
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