Provider Demographics
NPI:1316726821
Name:DARBOUZE, SEBASTIEN ERIC (DDS)
Entity type:Individual
Prefix:DR
First Name:SEBASTIEN
Middle Name:ERIC
Last Name:DARBOUZE
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 LARKFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-4242
Mailing Address - Country:US
Mailing Address - Phone:818-935-9875
Mailing Address - Fax:
Practice Address - Street 1:2151 E PALMDALE BLVD
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-4037
Practice Address - Country:US
Practice Address - Phone:661-485-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1092801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty