Provider Demographics
NPI:1144406349
Name:PERLECHE URBANO, LILIANA ANGELINA (DDS)
Entity Type:Individual
Prefix:
First Name:LILIANA
Middle Name:ANGELINA
Last Name:PERLECHE URBANO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 RAMONA EXPY
Mailing Address - Street 2:STE #7
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92571-7014
Mailing Address - Country:US
Mailing Address - Phone:951-943-7171
Mailing Address - Fax:951-943-6366
Practice Address - Street 1:85 RAMONA EXPY
Practice Address - Street 2:STE #7
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92571-7014
Practice Address - Country:US
Practice Address - Phone:951-943-7171
Practice Address - Fax:951-943-6366
Is Sole Proprietor?:No
Enumeration Date:2008-01-17
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA551351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice