# ALEJANDRO DENTAL GROUP CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164230306
- **Authorized official:** LOURDES ALEJANDRO DDS (DENTIST)
- **Authorized official phone:** (626) 941-4526

## Contact information

- **Practice address:** 18856 AMAR RD STE 15, WALNUT, CA 91789-7104
- **Practice address phone:** (626) 941-4526
- **Mailing address:** 6755 PATTERSON WAY, PALMDALE, CA 93552-4150
- **Mailing address phone:** (626) 941-4526

## Taxonomy

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

## Other

- **Enumeration date:** 12/19/2024
- **Last updated:** 12/19/2024
