# ALEXANDER DURAN DENTAL CORPOTATION

> 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:** DENTAL HEAVEN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164757811
- **Authorized official:** DR. ALEXANDER DURAN D.D.S. (PRESIDENT)
- **Authorized official phone:** (909) 944-7410

## Contact information

- **Practice address:** 9267 HAVEN AVE STE 160, RANCHO CUCAMONGA, CA 91730-5430
- **Practice address phone:** (909) 944-7410
- **Practice address fax:** (909) 944-7420
- **Mailing address:** 9267 HAVEN AVE STE 160, RANCHO CUCAMONGA, CA 91730-5430
- **Mailing address phone:** (909) 944-7410
- **Mailing address fax:** (909) 944-7420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2009
- **Last updated:** 10/14/2009
