Provider Demographics
NPI:1275608986
Name:GALINDO, ALFONSO G (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALFONSO
Middle Name:G
Last Name:GALINDO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:ALFONSO
Other - Middle Name:G
Other - Last Name:GALINDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:2950 INTERNATIONAL BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-2228
Mailing Address - Country:US
Mailing Address - Phone:510-535-4450
Mailing Address - Fax:510-535-4494
Practice Address - Street 1:2950 INTERNATIONAL BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-2228
Practice Address - Country:US
Practice Address - Phone:510-535-4450
Practice Address - Fax:510-532-4494
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA403521223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health