Healthcare Provider Details

I. General information

NPI: 1710152111
Provider Name (Legal Business Name): ASUNCION DENTAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2008
Last Update Date: 05/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28420 HASKELL CANYON RD
SANTA CLARITA CA
91390
US

IV. Provider business mailing address

28420 HASKELL CANYON RD.
SANTA CLARITA CA
91390
US

V. Phone/Fax

Practice location:
  • Phone: 661-513-9595
  • Fax: 661-513-9119
Mailing address:
  • Phone: 661-513-9595
  • Fax: 661-513-9119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number55661
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number52836
License Number StateCA

VIII. Authorized Official

Name: DR. RAMIL LIMCAOCO ASUNCION
Title or Position: PRESIDENT
Credential: DDM
Phone: 661-513-9595