Provider Demographics
NPI:1033324686
Name:SABINO, MYRNA N (DMD)
Entity Type:Individual
Prefix:DR
First Name:MYRNA
Middle Name:N
Last Name:SABINO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2340 E 8TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-2872
Mailing Address - Country:US
Mailing Address - Phone:619-267-8330
Mailing Address - Fax:
Practice Address - Street 1:2340 E 8TH ST STE B
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-2872
Practice Address - Country:US
Practice Address - Phone:619-267-8330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD26002122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist