Provider Demographics
NPI:1629852181
Name:ADRIANA HURTADO D.D.S. INC.
Entity Type:Organization
Organization Name:ADRIANA HURTADO D.D.S. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HURTADO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:661-857-2315
Mailing Address - Street 1:27155 CHERRY LAUREL PL
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91387-3819
Mailing Address - Country:US
Mailing Address - Phone:661-857-2315
Mailing Address - Fax:
Practice Address - Street 1:116 H ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304-2910
Practice Address - Country:US
Practice Address - Phone:661-327-4122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental