Provider Demographics
NPI:1841561982
Name:BITTON, DEBORA M (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEBORA
Middle Name:M
Last Name:BITTON
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 1:10 FUCHSIA
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-1431
Mailing Address - Country:US
Mailing Address - Phone:949-289-4243
Mailing Address - Fax:
Practice Address - Street 1:23704 EL TORO RD STE A
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-8906
Practice Address - Country:US
Practice Address - Phone:949-770-9355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-20
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60525122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist