| Alpine Dentistry | |
| 
					1620 Alpine Blvd. Su. #121 Alpine CA 91901  | |
| (619) 445-8896 | |
| (619) 445-7339 | 
| Full Name | Alpine Dentistry | 
|---|---|
| Speciality | Dentist | 
| Location | 1620 Alpine Blvd., Alpine, California | 
| Authorized Official Name and Position | Robert D. Krause (OWNER) | 
| Authorized Official Contact | 6194458896 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alpine Dentistry 1620 Alpine Blvd. Su. #121 Alpine CA 91901 Ph: (619) 445-8896  | Alpine Dentistry 1620 Alpine Blvd. Su. #121 Alpine CA 91901 Ph: (619) 445-8896  | 
| NPI Number | 1578716148 | 
|---|---|
| Provider Enumeration Date | 10/28/2008 | 
| Last Update Date | 10/28/2008 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1578716148 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 47454 (California) | Secondary | 
| 122300000X | Dentist | 29162 (California) | Primary | 
Rodolfo Orozco Dds, Apc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2065 Arnold Way Ste 105, Alpine, CA 91901 Phone: 619-659-9580 Fax: 619-659-9535  | |
S J Shahangian Dds Ms Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Alpine Blvd Ste 212, Alpine, CA 91901 Phone: 619-445-8881  | |
Jonar R Bonifacio, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Alpine Blvd Ste 121, Alpine, CA 91901 Phone: 619-445-8896 Fax: 619-445-7339  | |
Cynthia L Jackson Dds Ms Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Alpine Blvd, Ste 212, Alpine, CA 91901 Phone: 619-445-8883 Fax: 619-445-8890  |