Dr. Deza'S Dental Office Inc.

LBN: Dr. Deza'S Dental Office Inc.
Dr. Deza'S Dental Office Inc. is an health care organization with primary practice located at 23080 Alessandro Blvd Ste 201 , Moreno Valley CA 92553-9674. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Dr. Deza'S Dental Office Inc. can be contacted via phone (951) 697-0909, or through Deza, Rocio via phone (951) 697-0909.

Contact Information

Primary practice address
23080 Alessandro Blvd Ste 201 Moreno Valley CA 92553-9674
Phone: (951) 697-0909
Fax: (951) 697-1116
Website:
Map and Directions
Authorized official contact:
Name: Deza, Rocio Doctor of Dental Surgery (DDS)
Phone: (951) 697-0909

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 43332 California

Profile Details

NPI number 1548612856
LBN Legal business name Dr. Deza'S Dental Office Inc.
DBA Doing business as
Authorized official Deza, Rocio Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2016
Last updated Jul 11th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548612856 NPPES
California MEDICAID 1982707907

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