Healthcare Provider Details

I. General information

NPI: 1639002389
Provider Name (Legal Business Name): VIRAMONTES SMILE CARE DENTAL HYGIENE PRACTICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1682 FLOWERDALE ST
SIMI VALLEY CA
93063-4453
US

IV. Provider business mailing address

11024 BALBOA BLVD # 1819
GRANADA HILLS CA
91344-5007
US

V. Phone/Fax

Practice location:
  • Phone: 818-564-5647
  • Fax:
Mailing address:
  • Phone: 818-564-5647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number State

VIII. Authorized Official

Name: YULIANA VIRAMONTES
Title or Position: OWNER
Credential: RDHAP
Phone: 818-564-5647