Provider Demographics
NPI:1497052096
Name:VALCU-PINKERTON, SANDA (RDHAP)
Entity Type:Individual
Prefix:
First Name:SANDA
Middle Name:
Last Name:VALCU-PINKERTON
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 3491
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:CA
Mailing Address - Zip Code:91396-3491
Mailing Address - Country:US
Mailing Address - Phone:818-825-0192
Mailing Address - Fax:818-712-6980
Practice Address - Street 1:20654 BASSETT ST
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:CA
Practice Address - Zip Code:91306-3303
Practice Address - Country:US
Practice Address - Phone:818-825-0192
Practice Address - Fax:818-712-6980
Is Sole Proprietor?:No
Enumeration Date:2011-02-16
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA305124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist