Healthcare Provider Details

I. General information

NPI: 1114936382
Provider Name (Legal Business Name): DENTAL FIRST ORAL HEALTH CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 604 THE ONE EXECUTIVE OFFICE BUILDING #5 WEST AVENUE
QUEZON CITY METRO MANILA
1104
PH

IV. Provider business mailing address

UNIT 604 THE ONE EXECUTIVE OFFICE BUILDING #5 WEST AVENUE
QUEZON CITY METRO MANILA
1104
PH

V. Phone/Fax

Practice location:
  • Phone: 632-412-1393
  • Fax: 632-376-2776
Mailing address:
  • Phone: 632-412-1393
  • Fax: 632-376-2776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. SHEILA THERESE MANCAO GALENZOGA
Title or Position: PRESIDENT
Credential: DMD
Phone: 632-412-1393