Provider Demographics
NPI:1831373729
Name:UMALI, MARGARITA ISABEL JOAQUIN (DMD)
Entity type:Individual
Prefix:DR
First Name:MARGARITA ISABEL
Middle Name:JOAQUIN
Last Name:UMALI
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 1:1812 W BURBANK BLVD
Mailing Address - Street 2:#128
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-1315
Mailing Address - Country:US
Mailing Address - Phone:818-281-2028
Mailing Address - Fax:
Practice Address - Street 1:1812 W BURBANK BLVD
Practice Address - Street 2:#128
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-1315
Practice Address - Country:US
Practice Address - Phone:818-281-2028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA556311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice