Provider Demographics
NPI:1275716854
Name:ALTER & MERU ORTHODONTIC DENTAL GROUP
Entity type:Organization
Organization Name:ALTER & MERU ORTHODONTIC DENTAL GROUP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALTER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-485-5150
Mailing Address - Street 1:451 W. GONZALES ROAD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-0732
Mailing Address - Country:US
Mailing Address - Phone:805-485-5150
Mailing Address - Fax:805-485-5780
Practice Address - Street 1:451 W. GONZALES ROAD
Practice Address - Street 2:SUITE 320
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0732
Practice Address - Country:US
Practice Address - Phone:805-485-5150
Practice Address - Fax:805-485-5780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty