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

Dr. Charise Ruby Untalan, DDS

Individual provider General Practice Dentistry · NPI 1255496782

Dr. Charise Ruby Untalan, DDS is a General Practice Dentistry in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

730 S Western Ave Ste 202
Los Angeles, CA 90005-5901
Phone: (213) 385-3828
Fax: (213) 385-2144
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 49984 (CA)

Record details

NPI number1255496782
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 26, 2006
Last updated in NPPESJuly 9, 2007

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