Alas, Anderson Gustavo

Alas, Anderson Gustavo is an individual health care provider with primary practice located at 1413 Foothill Blvd Suite G, La Verne CA 91750. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Alas, Anderson Gustavo can be contacted via phone (909) 593-7561.

Contact Information

Primary practice address
1413 Foothill Blvd Suite G La Verne CA 91750
Fax: (909) 447-7004
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 37775 California

Profile Details

NPI number 1982710331
LBN Legal business name Alas, Anderson Gustavo
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982710331 NPPES
California Other G9285101 DENTI CAL

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