DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LICAUCO TAN DENTAL CORP

Active Organization

LICAUCO TAN DENTAL CORP is a Dentist organization located in LA PALMA, California. NPI 1952431033 is currently active in the NPPES registry. Verify at CMS.

Dentist · LA PALMA, CA

Registration Details

NPI Number
1952431033
Provider Type
Organization
NPI Issued
Mar 7, 2007 (19.25780169506 yrs)
Last Updated
Aug 22, 2020
Licenses
41314 (CA)
40656 (CA)

Practice Information

Address
30 CENTERPOINTE DR
SUITE 10
LA PALMA, CA, 906231055
Browse CA providers · Browse ZIP 90623
Phone
7149940888
Fax
7149946038
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Organizations in LA PALMA, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.