Provider Demographics
NPI:1821274333
Name:JANETTE S. CABALINAN,A PROF. DENTAL CORP.
Entity Type:Organization
Organization Name:JANETTE S. CABALINAN,A PROF. DENTAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANETTE
Authorized Official - Middle Name:SEGOVIA
Authorized Official - Last Name:CABALINAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-405-9090
Mailing Address - Street 1:668 N LOS ROBLES AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1004
Mailing Address - Country:US
Mailing Address - Phone:626-405-9090
Mailing Address - Fax:
Practice Address - Street 1:820 MISSION ST STE A
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-3385
Practice Address - Country:US
Practice Address - Phone:626-405-9090
Practice Address - Fax:626-405-9080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49849261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental