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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