Provider Demographics
NPI:1952431256
Name:LARIN, LILIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:LILIA
Middle Name:
Last Name:LARIN
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 1:400 MILE OF CARS WAY STE A
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-8540
Mailing Address - Country:US
Mailing Address - Phone:619-477-1970
Mailing Address - Fax:619-477-6117
Practice Address - Street 1:202 MILE OF CARS WAY
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-6605
Practice Address - Country:US
Practice Address - Phone:619-477-1970
Practice Address - Fax:619-477-6117
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA378551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA73356OtherUNITED CONCORDIA
CAB3785502OtherDENTI CAL #
CAG9828702OtherHEALTHY FAMILIES