Healthcare Provider Details

I. General information

NPI: 1326805367
Provider Name (Legal Business Name): GUNEET ALAG DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 03/05/2024
Certification Date: 12/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31133 MISSION BLVD
HAYWARD CA
94544-7603
US

IV. Provider business mailing address

31133 MISSION BLVD
HAYWARD CA
94544-7603
US

V. Phone/Fax

Practice location:
  • Phone: 510-342-3908
  • Fax: 510-342-3910
Mailing address:
  • Phone: 510-342-3908
  • Fax: 510-342-3910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. GUNEET ALAG
Title or Position: CEO
Credential: DDS
Phone: 510-342-3908