# ALLA FUCHS DDS A PROF CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dba Lemon Grove Family Dental Ctr
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295857910
- **Authorized official:** MRS. ALLA FUCHS DDS (DENTIST PRESIDENT)
- **Authorized official phone:** (619) 464-2944

## Contact information

- **Practice address:** 7441 BROADWAY, LEMON GROVE, CA 91945-1603
- **Practice address phone:** (619) 464-2944
- **Practice address fax:** (619) 464-2952
- **Mailing address:** 7441 BROADWAY, LEMON GROVE, CA 91945-1603
- **Mailing address phone:** (619) 464-2944
- **Mailing address fax:** (619) 464-2952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 31131 | CA | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | B3113101 | MEDI CAL | CA |