Provider Demographics
NPI:1588657613
Name:DEMBINSKI, ELSA BETTINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELSA
Middle Name:BETTINA
Last Name:DEMBINSKI
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 1:10787 VIACHA DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92124-3418
Mailing Address - Country:US
Mailing Address - Phone:858-573-1501
Mailing Address - Fax:
Practice Address - Street 1:19871 MITSCHER WAY
Practice Address - Street 2:#2495
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92145-5103
Practice Address - Country:US
Practice Address - Phone:858-577-1825
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51811122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist