Provider Demographics
NPI:1962923672
Name:FERMINA V. BEBING, DDS INC.
Entity type:Organization
Organization Name:FERMINA V. BEBING, DDS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FERMINA
Authorized Official - Middle Name:V
Authorized Official - Last Name:BEBING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-331-5822
Mailing Address - Street 1:583 N AZUSA AVE
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91722-3502
Mailing Address - Country:US
Mailing Address - Phone:626-331-5822
Mailing Address - Fax:626-331-5823
Practice Address - Street 1:583 N AZUSA AVE
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91722-3502
Practice Address - Country:US
Practice Address - Phone:626-331-5822
Practice Address - Fax:626-331-5823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-03
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA507281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty