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General NPI Number Information
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NPI Number | 1467955369
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Entity Type | Organization
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Legal Business Name | MARIA T ALARCON DDS DENTAL CORPORATION
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Dates
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Enumeration Date | 03/16/2018
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 19682 HESPERIAN BLVD SECOND FLOOR SUITE #208
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City | HAYWARD
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State | CA
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Zip | 94541-4752
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Country | US
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Telephone | 510-253-2350
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Fax | 510-255-2161
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Provider Business Mailing Address
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Address Line | 19682 HESPERIAN BLVD SECOND FLOOR SUITE #208
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City | HAYWARD
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State | CA
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Zip | 94541-4752
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Country | US
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Telephone | 510-253-2350
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Fax | 510-255-2161
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. MARIA T ALARCON
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Credential | DDS
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Telephone | 510-253-2350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 135306
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 34647
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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