# ALVARADO DENTAL GROUP

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

## Provider details

- **NPI number:** 1619118254
- **Authorized official:** DR. DANIEL PERRY D.D.S. (DENTIST)
- **Authorized official phone:** (619) 287-0990

## Contact information

- **Practice address:** 6475 ALVARADO RD STE 205, SAN DIEGO, CA 92120-5013
- **Practice address phone:** (619) 287-0990
- **Practice address fax:** (619) 287-1462
- **Mailing address:** 6475 ALVARADO RD STE 205, SAN DIEGO, CA 92120-5013
- **Mailing address phone:** (619) 287-0990
- **Mailing address fax:** (619) 287-1462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 29790 | CA | — |
| 1223G0001X | General Practice Dentistry | 29858 | CA | Yes |

## Other

- **Enumeration date:** 03/11/2009
- **Last updated:** 03/11/2009