| Ida Alfonso Dmd Inc | |
|
5814 Van Allen Way Carlsbad CA 92008-7358 | |
| (760) 931-0144 | |
| Not Available |
| Full Name | Ida Alfonso Dmd Inc |
|---|---|
| Speciality | Dentist |
| Location | 5814 Van Allen Way, Carlsbad, California |
| Authorized Official Name and Position | Ida Alfonso (OWNER) |
| Authorized Official Contact | 7609310144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ida Alfonso Dmd Inc 5814 Van Allen Way Carlsbad CA 92008-7358 Ph: (760) 931-0144 | Ida Alfonso Dmd Inc 5814 Van Allen Way Carlsbad CA 92008-7358 Ph: (760) 931-0144 |
| NPI Number | 1104279579 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 07/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104279579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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