Provider Demographics
NPI:1205451093
Name:CESINITA ALARCON URBINA DDS INC.
Entity type:Organization
Organization Name:CESINITA ALARCON URBINA DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CESINITA
Authorized Official - Middle Name:A
Authorized Official - Last Name:URBINA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-325-5243
Mailing Address - Street 1:19525 NORDHOFF ST STE 30
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-7408
Mailing Address - Country:US
Mailing Address - Phone:818-325-5243
Mailing Address - Fax:
Practice Address - Street 1:19525 NORDHOFF ST STE 30
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-7408
Practice Address - Country:US
Practice Address - Phone:818-325-5243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-08
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA56544OtherDENTIST