Provider Demographics
NPI:1619275187
Name:CARABARIN, GEORGINA PATRICIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGINA
Middle Name:PATRICIA
Last Name:CARABARIN
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:PASEO DE LOS HEROES # 10501-214
Mailing Address - Street 2:
Mailing Address - City:TIJUANA
Mailing Address - State:ZONA RIO
Mailing Address - Zip Code:22340
Mailing Address - Country:MX
Mailing Address - Phone:619-342-1386
Mailing Address - Fax:
Practice Address - Street 1:546 PORT HARWICK
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-1228
Practice Address - Country:US
Practice Address - Phone:619-733-6038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ18593611223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics