Dr. Anthony E Deza, DDS
Dentist in Moreno Valley, CA. Individual provider (NPI-1).
NPI number1245908474
StatusActive
Last updated in NPPESSep 2, 2021
Details
- NPI
- 1245908474
- Entity type
- Individual (NPI-1)
- Name
- Dr. Anthony E Deza
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 2, 2021
- Certification date
- Sep 2, 2021
- Last updated
- Sep 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 106894 | CA | Yes |
Practice location
23080 Alessandro Blvd Ste 201Moreno Valley, CA 92553-9674
Phone 951-697-0909
Mailing address
18306 Berry RdRiverside, CA 92508-8869
Phone 951-452-0089
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