Organization
ANTHONY W. DEZA D.D.S.,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY W DEZA (CEO)
(909) 886-4004
Entity
Organization
Contact information
Practice address
850 W HIGHLAND AVE STE B, SAN BERNARDINO, CA 92405-3855
(909) 886-4004
Mailing address
850 W HIGHLAND AVE STE B, SAN BERNARDINO, CA 92405-3855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42539
CA
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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