Untalan Dental Corporation
Untalan Dental Corporation is a General Practice Dentistry in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
730 S Western Ave Ste 202Los Angeles, CA 90005-3193
Phone: (213) 385-3828
Fax: (213) 385-2144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 49693 (CA) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 49984 (CA) |
Record details
| NPI number | 1881711281 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charise Untalan — Vp · (213) 385-3828 |
| NPI enumerated | March 23, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 730 S Western Ave, Suite 202, Los Angeles, CA 90005-3193 |
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Dr. Charise Ruby Untalan, DDS
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Dr. Norman Roy Zalameda Untalan, DDS
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