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UNTALAN DENTAL CORPORATION NPI 1245357789


NPI Profile

NPI: 1245357789
Provider Name: UNTALAN DENTAL CORPORATION
Classification:Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
10750 GLENOAKS BLVD
SUITE 6
PACOIMA, CA
ZIP 91331
Get Directions

Phone: (818) 686-1400

UNTALAN DENTAL CORPORATION is a general practice dentist in Pacoima, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. UNTALAN DENTAL CORPORATION NPI is 1245357789. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10750 GLENOAKS BLVD
SUITE 6
PACOIMA, CA
ZIP 91331-690
Phone: (818) 686-1400
Fax: (818) 686-1411

The provider's authorized official is Charise R Untalan .
The authorized official title is Vp and has the following contact phone number (213) 385-3828.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice49693CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G9241202OTHERCALIFORNIADENTICAL PROV NUMBER
2249693OTHERCALIFORNIADELTA DENTAL ID NUMB

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 10/10/2021

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