Provider Demographics
NPI:1730109802
Name:TREXEL, DONALD J (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:J
Last Name:TREXEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4333 PALM AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-6529
Mailing Address - Country:US
Mailing Address - Phone:619-469-4342
Mailing Address - Fax:
Practice Address - Street 1:4333 PALM AVE
Practice Address - Street 2:SUITE B
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-6529
Practice Address - Country:US
Practice Address - Phone:619-469-4342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27209122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist