Provider Demographics
NPI:1225225329
Name:ALCALA-SY, ARLENE M (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:M
Last Name:ALCALA-SY
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 1:615 E COLORADO ST
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1709
Mailing Address - Country:US
Mailing Address - Phone:818-502-9700
Mailing Address - Fax:818-502-1848
Practice Address - Street 1:615 E COLORADO ST
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1709
Practice Address - Country:US
Practice Address - Phone:818-502-9700
Practice Address - Fax:818-502-1848
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA504321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice