Provider Demographics
NPI:1710520564
Name:ALEK ZAND & MELINA ROSHANDELL DENTAL CORPORATION
Entity Type:Organization
Organization Name:ALEK ZAND & MELINA ROSHANDELL DENTAL CORPORATION
Other - Org Name:RANCHO DEL ORO DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEK
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-414-9200
Mailing Address - Street 1:815 COLLEGE BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-6261
Mailing Address - Country:US
Mailing Address - Phone:760-414-9200
Mailing Address - Fax:
Practice Address - Street 1:815 COLLEGE BLVD STE 106
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92057-6261
Practice Address - Country:US
Practice Address - Phone:760-414-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental