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NPI Code Detail

MEDICARE: ELIZABETH A ALIKPALA D.D.S.

MEDICARE:   ELIZABETH A ALIKPALA  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry51463CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1D51463OTHERCADENTICAL SERVICE PROVIDER

General Provider Information

NPI Number : 1649314691
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH A ALIKPALA D.D.S.
Provider Business Mailing Address
First Line : 5825 LINCOLN AVE
Second Line : SUTIE D-280
City : BUENA PARK
State : CA
Zip : 90620-3463
Country : US
Telephone Number : 626-627-2887
Fax Number :
Provider Business Practice Location Address
First Line : 5825 LINCOLN AVE
Second Line : SUTIE D-280
City : BUENA PARK
State : CA
Zip : 90620-3463
Country : US
Telephone Number : 626-627-2887
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2007
Last Update Date : 08/11/2009

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Directions to “ ELIZABETH A ALIKPALA D.D.S.” Practice Location

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