# ALFREDO VELAZQUEZ DDS, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CENTRAL CITY DENTAL OFFICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124227947
- **Authorized official:** ALFREDO VELAZQUEZ DDS (DENTIST)
- **Authorized official phone:** (909) 383-8328

## Contact information

- **Practice address:** 189 N E ST, SAN BERNARDINO, CA 92401-1901
- **Practice address phone:** (909) 383-8328
- **Practice address fax:** (909) 383-8332
- **Mailing address:** 189 N E ST, SAN BERNARDINO, CA 92401-1901
- **Mailing address phone:** (909) 383-8328
- **Mailing address fax:** (909) 383-8332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2007
- **Last updated:** 01/18/2017