Provider Demographics
NPI:1013430776
Name:LABUZ, PAULINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAULINA
Middle Name:
Last Name:LABUZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:PAULINA
Other - Middle Name:ANNA
Other - Last Name:LABUZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1617 WESTCLIFF DR STE 201
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-5526
Mailing Address - Country:US
Mailing Address - Phone:708-668-6709
Mailing Address - Fax:
Practice Address - Street 1:1617 WESTCLIFF DR STE 201
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-5526
Practice Address - Country:US
Practice Address - Phone:949-642-7998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-24
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019031279122300000X
CA102354122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist