Provider Demographics
NPI:1033384037
Name:FINEGOLD, DEBORAH (DDS)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:FINEGOLD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1164 ROSE AVE
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:CA
Mailing Address - Zip Code:93662-3250
Mailing Address - Country:US
Mailing Address - Phone:559-896-3145
Mailing Address - Fax:559-896-7042
Practice Address - Street 1:1164 ROSE AVE
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:CA
Practice Address - Zip Code:93662-3250
Practice Address - Country:US
Practice Address - Phone:559-896-3145
Practice Address - Fax:559-896-7042
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA381861223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery