Provider Demographics
NPI:1275849291
Name:PINEDA, ALLAN (DDS)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:
Last Name:PINEDA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 SUTTER ST
Mailing Address - Street 2:FIFTH FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4408
Mailing Address - Country:US
Mailing Address - Phone:415-956-0425
Mailing Address - Fax:
Practice Address - Street 1:212 SUTTER ST
Practice Address - Street 2:FIFTH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4408
Practice Address - Country:US
Practice Address - Phone:415-956-0425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA538511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice