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Organization
HUTALLA ESTELLA DENTAL CORP.
Active
Organization
HUTALLA ESTELLA DENTAL CORP.
Active
Other names
SoCal Tooth Co
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAN'D HUTALLA ESTELLA DMD (DENTIST)
(323) 369-8228
Entity
Organization
Contact information
Practice address
540 W RANCHO VISTA BLVD STE 102, PALMDALE, CA 93551-3010
(661) 402-1699
Mailing address
16733 LA VEDA AVE, CANYON COUNTRY, CA 91387-1723
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
02/22/2022
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