Provider Demographics
NPI:1245419662
Name:CAYAS, DEBBIE RONQUILLO (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEBBIE
Middle Name:RONQUILLO
Last Name:CAYAS
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 1:8331 FONTAINBLEAU WAY
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-2032
Mailing Address - Country:US
Mailing Address - Phone:562-650-3911
Mailing Address - Fax:714-772-6555
Practice Address - Street 1:4108 SOUTH ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-1005
Practice Address - Country:US
Practice Address - Phone:562-259-9824
Practice Address - Fax:562-259-9825
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46759122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist