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Organization
PURITA B EBBAY DMD INC
Active
Organization
PURITA B EBBAY DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PURITA BANGASAN EBBAY DMD (PRESIDENT)
(619) 477-1577
Entity
Organization
Contact information
Practice address
1105 E PLAZA BLVD, #C, NATIONAL CITY, CA 91950
(619) 477-1577
(619) 477-6014
Mailing address
1105 E PLAZA BLVD, #C, NATIONAL CITY, CA 91950
(619) 477-1577
(619) 477-6014
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39789
CA
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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