Healthcare Provider Details

I. General information

NPI: 1992852206
Provider Name (Legal Business Name): PARALUMAN VALMONTE FAELDAN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16018 AMAR RD
CITY OF INDUSTRY CA
91744
US

IV. Provider business mailing address

16018 AMAR RD
CITY OF INDUSTRY CA
91744
US

V. Phone/Fax

Practice location:
  • Phone: 620-333-1882
  • Fax: 620-333-1882
Mailing address:
  • Phone: 620-333-1882
  • Fax: 620-333-1882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number37993
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: