Tooth Fairy Dental

LBN: Ilagan Dental Corp.
Tooth Fairy Dental is an health care organization with primary practice located at 556 S Brand Blvd , San Fernando CA 91340-4002. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Ilagan Dental Corp. can be contacted via phone (818) 365-3004, or through Ilagan, Maria Eloisa via phone (818) 365-3004.

Contact Information

Primary practice address
556 S Brand Blvd San Fernando CA 91340-4002
Phone: (818) 365-3004
Fax: (818) 365-7100
Website:
Map and Directions
Authorized official contact:
Name: Ilagan, Maria Eloisa Doctor of Dental Surgery (DDS)
Phone: (818) 365-3004

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 46831 California

Profile Details

NPI number 1588981229
LBN Legal business name Ilagan Dental Corp.
DBA Doing business as Tooth Fairy Dental
Authorized official Ilagan, Maria Eloisa Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2010
Last updated Apr 20th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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