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General NPI Number Information
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NPI Number | 1649472820
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Entity Type | Individual
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Provider Name | LENNY NABONG DAYRIT DDS
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Gender | Female
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 26640 S WESTERN AVE STE M
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City | HARBOR CITY
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State | CA
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Zip | 90710
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Country | US
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Telephone | 310-325-8111
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Fax | 310-325-8101
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Provider Business Mailing Address
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Address Line | 26640 S WESTERN AVE STE M
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City | HARBOR CITY
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State | CA
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Zip | 90710
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Country | US
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Telephone | 310-325-8111
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Fax | 310-325-8101
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 42296
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License Number State | CA
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