Healthcare Provider Details

I. General information

NPI: 1235796079
Provider Name (Legal Business Name): ALINGOG DENTAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2019
Last Update Date: 05/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1727 SWEETWATER RD STE 204
NATIONAL CITY CA
91950-7652
US

IV. Provider business mailing address

1727 SWEETWATER RD STE 204
NATIONAL CITY CA
91950-7652
US

V. Phone/Fax

Practice location:
  • Phone: 415-509-1854
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: RENE RICARDO ALINGOG
Title or Position: PRESIDENT
Credential: DDS
Phone: 415-509-1854