| Alfredo Ayala, Dds, A Professional Corp | |
|
15862 Imperial Hwy La Mirada CA 90638-2512 | |
| (562) 219-6201 | |
| (562) 943-3737 |
| Full Name | Alfredo Ayala, Dds, A Professional Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15862 Imperial Hwy, La Mirada, California |
| Authorized Official Name and Position | Alfredo Ayala (CEO) |
| Authorized Official Contact | 5622196201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfredo Ayala, Dds, A Professional Corp 10941 Bonavista Ln Whittier CA 90604-1739 Ph: (562) 219-6201 | Alfredo Ayala, Dds, A Professional Corp 15862 Imperial Hwy La Mirada CA 90638-2512 Ph: (562) 219-6201 |
| NPI Number | 1356056477 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 01/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356056477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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