Provider Demographics
NPI:1457462111
Name:RELOS, APOLINAR DUPAYA (DMD)
Entity Type:Individual
Prefix:DR
First Name:APOLINAR
Middle Name:DUPAYA
Last Name:RELOS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 MISSION STREET
Mailing Address - Street 2:SUITE 202 MEDICAL DENTAL BUILDING
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110
Mailing Address - Country:US
Mailing Address - Phone:415-821-2332
Mailing Address - Fax:415-821-9153
Practice Address - Street 1:2460 MISSION STREET
Practice Address - Street 2:SUITE 202 MEDICAL DENTAL BUILDING
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110
Practice Address - Country:US
Practice Address - Phone:415-821-2332
Practice Address - Fax:415-821-9153
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25617122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist