Dr. Hanna Lael Robin De Bourg, DMD
Dentist, General Practice in Costa Mesa, CA. Individual provider (NPI-1).
NPI number1487879110
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1487879110
- Entity type
- Individual (NPI-1)
- Name
- Dr. Hanna Lael Robin De Bourg
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 48096 | CA | Yes |
Practice location
3105 Harbor BlvdCosta Mesa, CA 92626
Phone 310-922-2170
Mailing address
3105 Harbor BlvdCosta Mesa, CA 92626
Phone 310-922-2170
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All 99 General Practice Dentistry providers in Costa Mesa · All 5,371 providers in Costa Mesa
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