Provider Demographics
NPI:1881851921
Name:TURCO, KATERINA (DDS)
Entity Type:Individual
Prefix:
First Name:KATERINA
Middle Name:
Last Name:TURCO
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 1:1321 E THOUSAND OAKS BLVD STE 112
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-6279
Mailing Address - Country:US
Mailing Address - Phone:805-379-4764
Mailing Address - Fax:
Practice Address - Street 1:1321 E THOUSAND OAKS BLVD STE 112
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91362-6279
Practice Address - Country:US
Practice Address - Phone:805-379-4764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-16
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD132571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice