Healthcare Provider Details

I. General information

NPI: 1437409356
Provider Name (Legal Business Name): DRS. TRIPLETT & MARTIN, A DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2012
Last Update Date: 09/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23969 NEWHALL RANCH ROAD
VALENCIA CA
91355
US

IV. Provider business mailing address

23969 NEWHALL RANCH ROAD
VALENCIA CA
91355
US

V. Phone/Fax

Practice location:
  • Phone: 661-284-3764
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. TONYA TRIPLETT
Title or Position: OWNER
Credential: DDS
Phone: 479-582-0600