Provider Demographics
NPI:1427490176
Name:CIFARELLI, LILIAN (DDS)
Entity type:Individual
Prefix:DR
First Name:LILIAN
Middle Name:
Last Name:CIFARELLI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34080 GOLDEN LANTERN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-2679
Mailing Address - Country:US
Mailing Address - Phone:949-661-5664
Mailing Address - Fax:949-661-7206
Practice Address - Street 1:34080 GOLDEN LANTERN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-2679
Practice Address - Country:US
Practice Address - Phone:949-661-5664
Practice Address - Fax:949-661-7206
Is Sole Proprietor?:No
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41259122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist