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Ms. Benita Janine De Mirza, DMD
Pediatric Dentist in Chula Vista, California
NPI 1861668451

Benita Janine De Mirza is a Pediatric Dentist based in Chula Vista, CA and is specialized in Pediatric Dentistry. Benita Janine De Mirza practices in Chula Vista, CA and has the professional credentials of DMD. The NPI Number for Benita Janine De Mirza is 1861668451 and holds a License No. 56424 (California).

The current practice location address for Benita Janine De Mirza is 345 F St Ste 260, Chula Vista, CA and can be reached out via phone at 619-585-8500 and via fax at 619-420-0275.

Location: 345 F St Ste 260, Chula Vista, CA, 91910-2649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861668451
Provider Name
Benita Janine De Mirza
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
345 F St Ste 260, Chula Vista, CA, 91910-2649
Phone Number
619-585-8500
Fax Number
619-420-0275
Provider Enumeration Date
05/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
345 F St Ste 260
City
Chula Vista
State
California
Zip
91910-2649
Phone Number
619-585-8500
Fax Number
619-420-0275
person
Provider Business Mailing Address Details
Address
345 F St Ste 260
City
Chula Vista
State
California
Zip
91910-2649
Phone Number
619-585-8500
Fax Number
619-420-0275
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
56424 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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