Provider Demographics
NPI:1386780229
Name:ALON, DANNA RICA QUIMSON (RDHAP)
Entity type:Individual
Prefix:MRS
First Name:DANNA RICA
Middle Name:QUIMSON
Last Name:ALON
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2963 BOWERY LN
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95135-1543
Mailing Address - Country:US
Mailing Address - Phone:408-348-0139
Mailing Address - Fax:408-715-0135
Practice Address - Street 1:2963 BOWERY LN
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95135-1543
Practice Address - Country:US
Practice Address - Phone:408-274-8057
Practice Address - Fax:408-715-0135
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARDHAP164124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist