Licauco Tan Dental Corp

LBN: Licauco Tan Dental Corp
Licauco Tan Dental Corp is an health care organization with primary practice located at 30 Centerpointe Dr Suite 10, La Palma CA 90623-1055. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Licauco Tan Dental Corp can be contacted via phone (714) 994-0888, or through Licauco, Cecile via phone (714) 994-0888.

Contact Information

Primary practice address
30 Centerpointe Dr Suite 10 La Palma CA 90623-1055
Phone: (714) 994-0888
Fax: (714) 994-6038
Website:
Map and Directions
Authorized official contact:
Name: Licauco, Cecile Doctor of Dental Surgery (DDS)
Phone: (714) 994-0888

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 40656 California
Dental Providers / Dentist 122300000X 41314 California

Profile Details

NPI number 1952431033
LBN Legal business name Licauco Tan Dental Corp
DBA Doing business as
Authorized official Licauco, Cecile Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Aug 22nd, 2020 - about 4 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.

Request for update

Popular Providers