# ALPINE DENTISTRY

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

## Provider details

- **NPI number:** 1578716148
- **Authorized official:** ROBERT D. KRAUSE D.D.S. (OWNER)
- **Authorized official phone:** (619) 445-8896

## Contact information

- **Practice address:** 1620 ALPINE BLVD., SU. \#121, ALPINE, CA 91901
- **Practice address phone:** (619) 445-8896
- **Practice address fax:** (619) 445-7339
- **Mailing address:** 1620 ALPINE BLVD., SU. \#121, ALPINE, CA 91901
- **Mailing address phone:** (619) 445-8896
- **Mailing address fax:** (619) 445-7339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 29162 | CA | Yes |
| 122300000X | Dentist | 47454 | CA | — |

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 10/28/2008
