Provider Demographics
NPI:1477928703
Name:RIPA, ALFREDO (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALFREDO
Middle Name:
Last Name:RIPA
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 1:1388 DON CARLOS CT
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-7129
Mailing Address - Country:US
Mailing Address - Phone:619-495-8434
Mailing Address - Fax:
Practice Address - Street 1:400 MILE OF CARS WAY
Practice Address - Street 2:SUITE A
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-8536
Practice Address - Country:US
Practice Address - Phone:619-477-1970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-12
Last Update Date:2015-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65287122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist