Provider Demographics
NPI:1508092248
Name:URBINA, CESINITA ALARCON (DDS)
Entity Type:Individual
Prefix:DR
First Name:CESINITA
Middle Name:ALARCON
Last Name:URBINA
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 1:8340 VAN NUYS BLVD
Mailing Address - Street 2:SUITE#C
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-3693
Mailing Address - Country:US
Mailing Address - Phone:818-920-3959
Mailing Address - Fax:
Practice Address - Street 1:8340 VAN NUYS BLVD
Practice Address - Street 2:SUITE#C
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-3693
Practice Address - Country:US
Practice Address - Phone:818-920-3959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA565441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice