Provider Demographics
NPI:1710152111
Name:ASUNCION DENTAL CORP
Entity Type:Organization
Organization Name:ASUNCION DENTAL CORP
Other - Org Name:ASUNCION DEGUZMAN DENTAL CORP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMIL
Authorized Official - Middle Name:LIMCAOCO
Authorized Official - Last Name:ASUNCION
Authorized Official - Suffix:
Authorized Official - Credentials:DDM
Authorized Official - Phone:661-513-9595
Mailing Address - Street 1:28420 HASKELL CANYON RD.
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91390
Mailing Address - Country:US
Mailing Address - Phone:661-513-9595
Mailing Address - Fax:661-513-9119
Practice Address - Street 1:28420 HASKELL CANYON RD
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91390
Practice Address - Country:US
Practice Address - Phone:661-513-9595
Practice Address - Fax:661-513-9119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55661122300000X
122300000X
CA528361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty