Provider Demographics
NPI:1710135181
Name:CANLAS, RUDELY CECILE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RUDELY
Middle Name:CECILE
Last Name:CANLAS
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 1:23925 WINDWARD LN
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1798
Mailing Address - Country:US
Mailing Address - Phone:661-281-8542
Mailing Address - Fax:
Practice Address - Street 1:23925 WINDWARD LN
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1798
Practice Address - Country:US
Practice Address - Phone:661-281-8542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA470501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice