Mary F. Aquino, DMD Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

45085 Issued in CA

Legal business name

MARY F. AQUINO, DMD INC.

Practice address

16917 Devonshire St
Granada Hills, CA 91344-7407

Phone

(818) 360-0957

Fax

(818) 360-7327

NPI assigned

Mar 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mary Felicity Tordecilla Aquino, DMD

Title

President

Phone

(818) 360-0957

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1659513281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16917 DEVONSHIRE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447407",
            "telephone_number": "818-360-0957",
            "fax_number": "818-360-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16917 DEVONSHIRE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447407",
            "telephone_number": "818-360-0957",
            "fax_number": "818-360-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY F. AQUINO, DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "MARY FELICITY",
        "authorized_official_middle_name": "TORDECILLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-360-0957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.