Provider Demographics
NPI:1417019183
Name:ALON OFIR DDS INC
Entity Type:Organization
Organization Name:ALON OFIR DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALON
Authorized Official - Middle Name:
Authorized Official - Last Name:OFIR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-622-9223
Mailing Address - Street 1:8301 IMPERIAL HWY
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-3830
Mailing Address - Country:US
Mailing Address - Phone:562-622-9223
Mailing Address - Fax:562-923-1372
Practice Address - Street 1:8301 IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-3830
Practice Address - Country:US
Practice Address - Phone:562-622-9223
Practice Address - Fax:562-923-1372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA425871223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG9311601OtherMEDICAL DENTRICAL