Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Licauco Tan Dental Corp

Organization Dentist · NPI 1952431033

Licauco Tan Dental Corp is a Dentist in LA Palma, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30 Centerpointe Dr Ste 10
LA Palma, CA 90623-1055
Phone: (714) 994-0888
Fax: (714) 994-6038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 40656 (CA)
Dentist Taxonomy 122300000X · Licence 41314 (CA)

Record details

NPI number1952431033
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cecile Licauco — President · (714) 994-0888
NPI enumeratedMarch 7, 2007
Last updated in NPPESAugust 22, 2020
Mailing address30 Centerpointe Dr, Suite 10, La Palma, CA 90623-1055

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