Provider Demographics
NPI:1770816126
Name:ALVARO GARCES DDS,INC
Entity Type:Organization
Organization Name:ALVARO GARCES DDS,INC
Other - Org Name:MISSION CAMINO DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALVARO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-439-9200
Mailing Address - Street 1:3753 MISSION AVE STE 116
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92058-1473
Mailing Address - Country:US
Mailing Address - Phone:760-439-9200
Mailing Address - Fax:760-439-2564
Practice Address - Street 1:3753 MISSION AVE STE 116
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92058-1473
Practice Address - Country:US
Practice Address - Phone:760-439-9200
Practice Address - Fax:760-439-2564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50911261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
1780794529OtherNPI
1780794529OtherNPI