Provider Demographics
NPI:1124376983
Name:GAD, ALINA WANLING (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALINA
Middle Name:WANLING
Last Name:GAD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:20657 GOLDEN SPRINGS DR
Mailing Address - Street 2:SUITE 207
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91789-3875
Mailing Address - Country:US
Mailing Address - Phone:909-595-8288
Mailing Address - Fax:909-595-8388
Practice Address - Street 1:20657 GOLDEN SPRINGS DR
Practice Address - Street 2:SUITE 207
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91789-3875
Practice Address - Country:US
Practice Address - Phone:909-595-8288
Practice Address - Fax:909-595-8388
Is Sole Proprietor?:No
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA383181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice