=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639002389
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VIRAMONTES SMILE CARE DENTAL HYGIENE PRACTICE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/03/2026
-----------------------------------------------------
Last Update Date | 06/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1682 FLOWERDALE ST
-----------------------------------------------------
City | SIMI VALLEY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93063-4453
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-564-5647
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11024 BALBOA BLVD # 1819
-----------------------------------------------------
City | GRANADA HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91344-5007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-564-5647
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | YULIANA VIRAMONTES
-----------------------------------------------------
Credential | RDHAP
-----------------------------------------------------
Telephone | 818-564-5647
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 124Q00000X
-----------------------------------------------------
Taxonomy Name | Dental Hygienist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------