Individual
DR. ANTHONY W. DEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2010 N RIVERSIDE AVE, SUITE A, RIALTO, CA 92377-4652
(909) 421-1555
(909) 421-1865
Mailing address
26990 KALMIA AVE, MORENO VALLEY, CA 92555-1914
(951) 924-6182
(951) 924-6182
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42539
CA
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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