MEDICARE: DR. DANA MARIA CARABULEA D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	43585	CA

General Provider Information

NPI Number	:	1568603223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANA MARIA CARABULEA D.D.S.

Provider Business Mailing Address
First Line	:	10721 EQUESTRIAN DR
Second Line	:
City	:	NORTH TUSTIN
State	:	CA
Zip	:	92705-2427
Country	:	US
Telephone Number	:	714-943-8357
Fax Number	:	714-417-9821

Provider Business Practice Location Address
First Line	:	10721 EQUESTRIAN DR
Second Line	:
City	:	NORTH TUSTIN
State	:	CA
Zip	:	92705-2427
Country	:	US
Telephone Number	:	714-943-8357
Fax Number	:	714-417-9821

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2009
Last Update Date	:	03/10/2009

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