Healthcare Provider Details

I. General information

NPI: 1861816936
Provider Name (Legal Business Name): AURORA ALDEN DDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2014
Last Update Date: 02/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2751 CONCORD BLVD
CONCORD CA
94519-2606
US

IV. Provider business mailing address

2751 CONCORD BLVD
CONCORD CA
94519-2606
US

V. Phone/Fax

Practice location:
  • Phone: 925-849-4463
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number56925
License Number StateCA

VIII. Authorized Official

Name: DR. AURORA ANDREA PATINO ALDEN
Title or Position: PRESIDENT
Credential: DDS
Phone: 925-849-4463