Untalan Dental Corporation

LBN: Untalan Dental Corporation
Untalan Dental Corporation is an health care organization with primary practice located at 10750 Glenoaks Blvd Suite 6, Pacoima CA 91331-1690. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Untalan Dental Corporation can be contacted via phone (818) 686-1400, or through Untalan, Charise R via phone (213) 385-3828.

Contact Information

Primary practice address
10750 Glenoaks Blvd Suite 6 Pacoima CA 91331-1690
Phone: (818) 686-1400
Fax: (818) 686-1411
Website:
Map and Directions
Authorized official contact:
Name: Untalan, Charise R
Phone: (213) 385-3828

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 49693 California

Profile Details

NPI number 1245357789
LBN Legal business name Untalan Dental Corporation
DBA Doing business as
Authorized official Untalan, Charise R
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245357789 NPPES
California Other 249693 DELTA DENTAL ID NUMB
California Other G9241202 DELTA DENTAL ID NUMB

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