Provider Demographics
NPI:1427198134
Name:ALARCON, MARIA T (DDS)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:T
Last Name:ALARCON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:T
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:315 40TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94805-2217
Mailing Address - Country:US
Mailing Address - Phone:510-232-4003
Mailing Address - Fax:510-232-6476
Practice Address - Street 1:315 40TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94805-2217
Practice Address - Country:US
Practice Address - Phone:510-232-4003
Practice Address - Fax:510-232-6476
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA346471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice