Provider Demographics
NPI:1649322462
Name:ACAL, MARIA ELENA (DMD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ELENA
Last Name:ACAL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 W 6TH ST
Mailing Address - Street 2:SUITE #105
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-2742
Mailing Address - Country:US
Mailing Address - Phone:951-493-6600
Mailing Address - Fax:951-493-6777
Practice Address - Street 1:1530 W 6TH ST
Practice Address - Street 2:SUITE #105
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-2742
Practice Address - Country:US
Practice Address - Phone:951-493-6600
Practice Address - Fax:951-493-6777
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44809122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist