Individual
DR. ANDERSON GUSTAVO ALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1413 FOOTHILL BLVD, SUITE G, LA VERNE, CA 91750
(909) 593-7561
(909) 447-7004
Mailing address
1413 FOOTHILL BLVD, SUITE G, LA VERNE, CA 91750
(909) 593-7561
(909) 447-7004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37775
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9285101
DENTI CAL
CA
Enumeration date
08/21/2006
Last updated
07/08/2007
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