Individual
ALAN ENRIQUE MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16701 VALLEY BLVD, FONTANA, CA 92335-6696
(909) 356-4490
Mailing address
24973 PROSPECT AVE, LOMA LINDA, CA 92354-2842
(305) 491-3392
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
112269
CA
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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