Provider Demographics
NPI:1033215470
Name:CATAQUIZ, REBECCA PILAR MIRASOL (DMD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA PILAR
Middle Name:MIRASOL
Last Name:CATAQUIZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13132 POWAY RD
Mailing Address - Street 2:STE. B
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-4612
Mailing Address - Country:US
Mailing Address - Phone:619-440-5800
Mailing Address - Fax:858-486-2933
Practice Address - Street 1:13132 POWAY RD
Practice Address - Street 2:STE. B
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-4612
Practice Address - Country:US
Practice Address - Phone:858-486-2925
Practice Address - Fax:858-486-2933
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA434291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice