Provider Demographics
NPI:1285645978
Name:AFAN, MARIA ELENA PALARCA (DMD)
Entity Type:Individual
Prefix:MRS
First Name:MARIA ELENA
Middle Name:PALARCA
Last Name:AFAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:P
Other - Last Name:AFAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1010 E. OHIO AVE.
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4615
Mailing Address - Country:US
Mailing Address - Phone:760-743-7117
Mailing Address - Fax:760-743-7179
Practice Address - Street 1:1010 E. OHIO AVE.
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4615
Practice Address - Country:US
Practice Address - Phone:760-743-7117
Practice Address - Fax:760-743-7179
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA391241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice