CONSUELO PALACIOS DDS DENTAL CORPORATION.


Address: 20263 Saticoy St Ste F, Winnetka, CA 91306-2591
Phone: (818) 709-3566

CONSUELO PALACIOS DDS DENTAL CORPORATION. (NPI# 1679094049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679094049
Entity Type Organization
Organization Name CONSUELO PALACIOS DDS DENTAL CORPORATION.
Practice Address 20263 Saticoy St Ste F
Winnetka
CA 91306-2591
Practice Telephone (818) 709-3566
Practice Fax Number 8187090604
Mailing Telephone 8187093566
Mailing Fax Number 8187090604
Enumeration Date 2017-07-06
Last Update Date 2017-07-06
Authorized Official Name CONSUELO MARIA PALACIOS. (DENTIST.)
Authorized Official Telephone 8187093566
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
64805 CA Ambulatory Health Care Facilities

Office Location

Street Address 20263 SATICOY ST STE F
City WINNETKA
State CA
Zip Code 91306-2591

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1104290485 Edmond Reyhani Pharmacist 20839 W Roscoe Blvd, Winnetka, CA 91306 2015-11-24
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1336578228 Charmaine Fermin Counselor 20225 Cohasset St, Winnetka, CA 91306 2013-11-01
1669740429 Robert Hazany Dentist 20832 Roscoe Blvd #101, Canoga Park, CA 91306 2011-12-08
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750795969 Oso Dental Office Clinic/Center 20263 Saticoy St, Suite F, Winnetka, CA 91306-2591 2014-06-16
1164907739 David Chang Dds Inc Clinic/Center 20439 Sherman Way, Winnetka, CA 91306-3109 2018-09-30
1538346036 Alexander Oral Surgery, Ltd. Clinic/Center 800 Oak St, Suite 101, Winnetka, IL 60093-2555 2008-01-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861093551 Arshdeep Kaur Dental Corporation Clinic/Center 345 F St Ste 180, Chula Vista, CA 91910-2648 2020-11-08
1699376350 Funto Ayanleke Dds Clinic/Center 1116 W Tokay St Ste A, Lodi, CA 95240-3852 2020-11-07
1427658541 Anthony Ngo, Dmd Professional Corporation Clinic/Center 18361 Beach Blvd, Huntington Beach, CA 92648-1310 2020-10-28
1912507948 Alexander Phillips Dds Inc Clinic/Center 120 C Ave Ste 100, Coronado, CA 92118-1992 2020-10-28
1912507203 George K Nguyen Dds, PC Clinic/Center 2097 Compton Ave Ste 104, Corona, CA 92881-7289 2020-10-27
1316547524 Ingersoll Park Marina Gp Dental Corporation Clinic/Center 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 2020-10-27
1396344073 Charles Kim Dental Corporation Clinic/Center 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 2020-10-22
1104425131 Hossein Malakooti A Dental Corporation Clinic/Center 16540 Merrill Ave, Fontana, CA 92335 2020-10-21
1760081129 Anthony Pham Dental Corp Clinic/Center 2658 E Garvey Ave S, West Covina, CA 91791-2113 2020-10-17
1215535182 Park and Park Dental Group Partnership Clinic/Center 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 2020-10-13
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Competitor

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City WINNETKA
Zip Code 91306

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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