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DR. ANDERSON GUSTAVO ALAS DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1982710331

Individual Registrant:
DR. ANDERSON GUSTAVO ALAS DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1413 FOOTHILL BLVD SUITE G LA VERNE, CA 91750 US
Tel: 909-593-7561  Fax: 909-447-7004

Contact information for business:
1413 FOOTHILL BLVD SUITE G LA VERNE, CA 91750 US
Tel: 909-593-7561  Fax: 909-447-7004

Registration Information:
NPI: 1982710331
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA37775

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DENTI CALG9285101CA01




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