Hutalla Estella Dental Corp.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HUTALLA ESTELLA DENTAL CORP.

Doing business as

SoCal Tooth Co

Practice address

540 W Rancho Vista Blvd Ste 102
Palmdale, CA 93551-3010

Phone

(661) 402-1699

NPI assigned

Jun 29, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bran'D Hutalla Estella, DMDNPI 1477106557

Title

Dentist

Phone

(323) 369-8228

Specialties & licenses 1

Addresses

Other names 1

• SoCal Tooth Co Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bran'D Hutalla Estella, DMD

  • Dentist
  • Palmdale, CA
  • NPI 1477106557
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1629648860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16733 LA VEDA AVE",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913871723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W RANCHO VISTA BLVD STE 102",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513010",
            "telephone_number": "661-402-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTALLA ESTELLA DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "ESTELLA",
        "authorized_official_first_name": "BRAN'D",
        "authorized_official_middle_name": "HUTALLA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "323-369-8228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SoCal Tooth Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Humble Haven Rcfe II
• Humble Haven Rcfe IV
• Kimberly Lynn Hunter, LVN
• Jung Hoon Hur, RRT
• Mohamed Mokhtar Hussien-Bakr, M.D.
• Ricahrd Allan Hyatt, M.D.
• Ian Richard Cook, MD, Apmc
• Rosa Ibarra
• Ibibiase Reproductive Services LLC
• Ashley E Ibrahim

• Dental Clinic/Center in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.