Provider Demographics
NPI:1134327695
Name:CURIEL, MICHAEL L (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:L
Last Name:CURIEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 N MACLAY AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340-2454
Mailing Address - Country:US
Mailing Address - Phone:818-365-9391
Mailing Address - Fax:818-838-2363
Practice Address - Street 1:405 N MACLAY AVE
Practice Address - Street 2:STE 101
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-2454
Practice Address - Country:US
Practice Address - Phone:818-365-9391
Practice Address - Fax:818-838-2363
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA298931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice