| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 02/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629648860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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