Organization
LENA S DEBAZ DMD DENTAL PRACTICE
Active
Other names
Energetic Smile
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LENA DEBAZ DMD (OWNER, GENERAL DENTIST)
(714) 594-7009
Entity
Organization
Contact information
Practice address
307 N BREA BLVD, BREA, CA 92821-4053
(714) 594-7009
Mailing address
307 N BREA BLVD, BREA, CA 92821-4053
(714) 594-7009
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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