NPI 1245357789

Untalan Dental Corporation

Organisation General Practice Dentistry Pacoima, CA

Practice location

Address: 10750 Glenoaks Blvd Suite 6, Pacoima, CA 91331-1690
Phone: (818) 686-1400
Fax: (818) 686-1411

Authorised official

Name: Charise R Untalan
Title: Vp
Phone: (213) 385-3828

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 49693 (CA)

Other Dentist providers in California →

Registry record

NPI: 1245357789
Entity type: Organization
NPI issued: 22 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.