Provider Demographics
NPI:1174821896
Name:ALKASMI, DANA
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:ALKASMI
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:DANA
Other - Middle Name:
Other - Last Name:ALKASMI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:3953 STONEBRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA FE
Mailing Address - State:CA
Mailing Address - Zip Code:92091-4547
Mailing Address - Country:US
Mailing Address - Phone:619-972-0897
Mailing Address - Fax:
Practice Address - Street 1:3953 STONEBRIDGE LN
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA FE
Practice Address - State:CA
Practice Address - Zip Code:92091-4547
Practice Address - Country:US
Practice Address - Phone:619-972-0897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44647122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist