Provider Demographics
NPI:1023224011
Name:ALEXANDRONI, EMANUELA (DDS)
Entity Type:Individual
Prefix:DR
First Name:EMANUELA
Middle Name:
Last Name:ALEXANDRONI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:477 S ASSOCIATED RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-5836
Mailing Address - Country:US
Mailing Address - Phone:714-671-2922
Mailing Address - Fax:714-671-2924
Practice Address - Street 1:477 S ASSOCIATED RD
Practice Address - Street 2:SUITE A
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-5836
Practice Address - Country:US
Practice Address - Phone:714-671-2922
Practice Address - Fax:714-671-2924
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA472241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice