Provider Demographics
NPI:1073276317
Name:CHEBAT, PAULA (RDH)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:CHEBAT
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1784 N COAST HIGHWAY 101 APT 9
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-1045
Mailing Address - Country:US
Mailing Address - Phone:951-973-4133
Mailing Address - Fax:
Practice Address - Street 1:1784 N COAST HIGHWAY 101 APT 9
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-1045
Practice Address - Country:US
Practice Address - Phone:951-973-4133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34288124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist