MRS. Maryellen Debanff, D.D.S.

NPI #1568653210 in Yucaipa, California

Provider Information

NPI Number: 1568653210
Entity Type: Individual
Name: MRS. Maryellen Debanff, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Aug 7, 2007
Last Updated: Aug 7, 2007

Practice Location

Address: 33694 YUCAIPA BLVD STE 3
City: Yucaipa
State: California
ZIP Code: 92399-2074
Phone: (909) 797-1077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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