Provider Demographics
NPI:1831260975
Name:KATHRYN A. MCFARLAND, DDS & EDITH M. PALLENCAOE, DDS, INC.
Entity type:Organization
Organization Name:KATHRYN A. MCFARLAND, DDS & EDITH M. PALLENCAOE, DDS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCFARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-239-9597
Mailing Address - Street 1:502 FIRST ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-3742
Mailing Address - Country:US
Mailing Address - Phone:805-239-9597
Mailing Address - Fax:805-239-4142
Practice Address - Street 1:502 FIRST ST
Practice Address - Street 2:SUITE B
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-3742
Practice Address - Country:US
Practice Address - Phone:805-239-9597
Practice Address - Fax:805-239-4142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA399871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty