Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 40352 | CA |
NPI | 1275608986 |
---|---|
Provider Name | Dr. Alfonso G Galindo |
First Address | Oakland, CA 94601-2228 |
Second Address | Oakland, CA 94601-2228 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 16/05/2019 |