Provider Demographics
NPI:1306002332
Name:PALAGANAS, ALELI AMOS
Entity Type:Individual
Prefix:DR
First Name:ALELI
Middle Name:AMOS
Last Name:PALAGANAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1341 E 8TH ST STE D
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-2664
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:619-474-1341
Practice Address - Street 1:1341 E 8TH ST STE D
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-2664
Practice Address - Country:US
Practice Address - Phone:619-474-8441
Practice Address - Fax:619-474-1341
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA571151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice