Provider Demographics
NPI:1568603223
Name:CARABULEA, DANA MARIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:MARIA
Last Name:CARABULEA
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 1:10721 EQUESTRIAN DR
Mailing Address - Street 2:
Mailing Address - City:NORTH TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92705-2427
Mailing Address - Country:US
Mailing Address - Phone:714-943-8357
Mailing Address - Fax:714-417-9821
Practice Address - Street 1:10721 EQUESTRIAN DR
Practice Address - Street 2:
Practice Address - City:NORTH TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92705-2427
Practice Address - Country:US
Practice Address - Phone:714-943-8357
Practice Address - Fax:714-417-9821
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-10
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA435851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice