Provider Demographics
NPI:1265849038
Name:ALELI AMOS PALAGANAS DMD INC.
Entity Type:Organization
Organization Name:ALELI AMOS PALAGANAS DMD INC.
Other - Org Name:HAPPY SMILES DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTEMIO
Authorized Official - Middle Name:FLORES
Authorized Official - Last Name:PALAGANAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-474-8441
Mailing Address - Street 1:1341 E 8TH ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-2656
Mailing Address - Country:US
Mailing Address - Phone:619-474-8441
Mailing Address - Fax:
Practice Address - Street 1:1341 E 8TH ST
Practice Address - Street 2:SUITE D
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-2656
Practice Address - Country:US
Practice Address - Phone:619-474-8441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57115122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty