Provider Demographics
NPI:1013227438
Name:RENE R. ALINGOG, DDS, INC.
Entity Type:Organization
Organization Name:RENE R. ALINGOG, DDS, INC.
Other - Org Name:CHULA VISTA PEDIATRIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RENE
Authorized Official - Middle Name:RICARDO
Authorized Official - Last Name:ALINGOG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-482-1210
Mailing Address - Street 1:1040 TIERRA DEL REY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-7865
Mailing Address - Country:US
Mailing Address - Phone:619-482-1210
Mailing Address - Fax:619-482-1217
Practice Address - Street 1:1040 TIERRA DEL REY
Practice Address - Street 2:SUITE 103
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-7865
Practice Address - Country:US
Practice Address - Phone:619-482-1210
Practice Address - Fax:619-482-1217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA502021223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty