Provider Demographics
NPI:1962517599
Name:RICARDO A. ALPEZ, D.D.S., INC.
Entity type:Organization
Organization Name:RICARDO A. ALPEZ, D.D.S., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-573-7670
Mailing Address - Street 1:4648 RIVERSIDE DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-3926
Mailing Address - Country:US
Mailing Address - Phone:909-628-6701
Mailing Address - Fax:909-628-6704
Practice Address - Street 1:4648 RIVERSIDE DRIVE
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-3926
Practice Address - Country:US
Practice Address - Phone:909-628-6701
Practice Address - Fax:909-628-6704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40911122300000X
122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty