Organization
ALEXANDER A. GALVAN DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER A GALVAN D.M.D. (PRESIDENT)
(909) 481-2233
Entity
Organization
Contact information
Practice address
750 N ARCHIBALD AVE, SUITE N, ONTARIO, CA 91764-4647
(909) 481-2233
Mailing address
750 N ARCHIBALD AVE, SUITE N, ONTARIO, CA 91764-4647
(909) 481-2233
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
45861
CA
Other
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
Enumeration date
05/10/2007
Last updated
05/08/2015
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