Provider Demographics
NPI:1609861764
Name:PAMPALONE, BARBARA R (DDS, MAGD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:R
Last Name:PAMPALONE
Suffix:
Gender:F
Credentials:DDS, MAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21800 DEVONSHIRE ST
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-2905
Mailing Address - Country:US
Mailing Address - Phone:818-709-1200
Mailing Address - Fax:818-709-1239
Practice Address - Street 1:21800 DEVONSHIRE ST
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-2905
Practice Address - Country:US
Practice Address - Phone:818-709-1200
Practice Address - Fax:818-709-1239
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA193741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice