Individual
ANI ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
755 W RANCHO VISTA BLVD, PALMDALE, CA 93551-3735
(661) 265-7800
Mailing address
11813 DARBY AVE, PORTER RANCH, CA 91326-1321
(818) 515-3176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
103784
CA
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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