Alice G Alatorre, DDS
Individual provider Active NPI General Practice Dentistry · Indio, CA
NPI 1972644987 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1972644987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DA 30970 (CA)
- Practice address
- 82013 Doctor Carreon Blvd
Suite D
Indio, CA 92201-5832 - Phone
- (760) 775-0087
- NPI assigned
- Feb 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA 30970 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chun, Choi & Cho DDS Inc | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DA 30970 | CA | Yes |
Addresses
Primary practice location
82013 Doctor Carreon Blvd
Suite D
Indio, CA 92201-5832
Mailing address
82013 Doctor Carreon Blvd
Suite D
Indio, CA 92201-5832
Phone (760) 775-0087
Other providers in Indio, CA
- Tania Aguilar
- Lizbeth Aguirre
- Javed Ahmad
- Anas Al Yazji
- Lynette Alarcon
- Pamela Camarino Albarracin
- Albert Anderson MD PC
- Karina Elizalde Alcala
- Sarai Alcantar Uriostegui
- Francisco Ugalde Alcantara
All providers in Indio, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.