Organization
ORANGE COUNTY OROFACIAL PAIN ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J CEBULA DDS (DDS)
(626) 658-9004
Entity
Organization
Contact information
Practice address
301 S FAIR OAKS AVE, SUITE 402, PASADENA, CA 91105-2561
(626) 658-9004
(626) 658-9034
Mailing address
301 S FAIR OAKS AVE, SUITE 402, PASADENA, CA 91105-2561
(626) 658-9004
(626) 658-9034
Taxonomy
Speciality
Code
Description
License number
State
1223X2210X
Orofacial Pain Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962464040
INDIVIDUAL NPI
CA
Enumeration date
02/15/2016
Last updated
02/13/2020
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