Organization
ALEJANDRO ECHEVERRY DDS & MAURICIO FONRODONA DDS INC.
Active
Other names
Fillmore Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEJANDRO ECHEVERRY DDS (DENTIST)
(805) 524-9100
Entity
Organization
Contact information
Practice address
1317 W VENTURA ST UNIT C, FILLMORE, CA 93015-1690
(805) 524-9100
(805) 524-9500
Mailing address
1317 W VENTURA ST UNIT C, FILLMORE, CA 93015-1690
(805) 524-9100
(805) 524-9500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
49876
CA
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G89695-01
DENTICAL
CA
Enumeration date
06/09/2008
Last updated
11/15/2022
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