Provider Demographics
NPI:1568582922
Name:PILONES, MICHELLE ALESNA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ALESNA
Last Name:PILONES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 OCEAN AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94127-2618
Mailing Address - Country:US
Mailing Address - Phone:415-494-5695
Mailing Address - Fax:628-201-5357
Practice Address - Street 1:2411 OCEAN AVE STE 201
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94127-2618
Practice Address - Country:US
Practice Address - Phone:415-494-5695
Practice Address - Fax:628-201-5357
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2017-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0368951223G0001X
CA581261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice