Hutalla Estella Dental Corp. | |
540 W Rancho Vista Blvd Ste 102 Palmdale CA 93551-3010 | |
(661) 402-1699 | |
Not Available |
Full Name | Hutalla Estella Dental Corp. |
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Speciality | Clinic/center - Dental |
Location | 540 W Rancho Vista Blvd Ste 102, Palmdale, California |
Authorized Official Name and Position | Bran'd Hutalla Estella (DENTIST) |
Authorized Official Contact | 3233698228 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hutalla Estella Dental Corp. 16733 La Veda Ave Canyon Country CA 91387-1723 Ph: () - | Hutalla Estella Dental Corp. 540 W Rancho Vista Blvd Ste 102 Palmdale CA 93551-3010 Ph: (661) 402-1699 |
NPI Number | 1629648860 |
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Provider Enumeration Date | 06/29/2021 |
Last Update Date | 02/22/2022 |
Identifier | Type | State | Issuer |
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1629648860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |