# ALEXANDER A. GALVAN DMD

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

## Provider details

- **NPI number:** 1609080316
- **Authorized official:** DR. ALEXANDER A GALVAN D.M.D. (PRESIDENT)
- **Authorized official phone:** (909) 481-2233

## Contact information

- **Practice address:** 750 N ARCHIBALD AVE, SUITE N, ONTARIO, CA 91764-4647
- **Practice address phone:** (909) 481-2233
- **Mailing address:** 750 N ARCHIBALD AVE, SUITE N, ONTARIO, CA 91764-4647
- **Mailing address phone:** (909) 481-2233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 45861 | CA | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 05/08/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1677524 | UNITED CONCORDIA PROV.\# | CA |
| 01 | — | 224019 | BLUE SHIELD PROVIDER NO. | CA |
| 01 | — | B45861-01 | DELTA HEALTHY FAMILIES | CA |
| 01 | — | G93476-01 | MEDICAL PROVIDER NUMBER | CA |