Provider Demographics
NPI:1558689208
Name:BARBA DENTAL CORPORATION
Entity Type:Organization
Organization Name:BARBA DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTOANETA
Authorized Official - Middle Name:CRISTINA DAFINA
Authorized Official - Last Name:BARBA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-552-7750
Mailing Address - Street 1:2010 E 1ST ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-4083
Mailing Address - Country:US
Mailing Address - Phone:714-558-6949
Mailing Address - Fax:714-558-6914
Practice Address - Street 1:2010 E 1ST ST
Practice Address - Street 2:SUITE 250
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-4083
Practice Address - Country:US
Practice Address - Phone:714-558-6949
Practice Address - Fax:714-558-6914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-05
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52581122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty