Provider Demographics
NPI:1851613715
Name:ALINGOG, RENE RICARDO (DDS)
Entity Type:Individual
Prefix:DR
First Name:RENE
Middle Name:RICARDO
Last Name:ALINGOG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1040 TIERRA DEL REY
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-7865
Mailing Address - Country:US
Mailing Address - Phone:619-482-1210
Mailing Address - Fax:619-482-1217
Practice Address - Street 1:1040 TIERRA DEL REY
Practice Address - Street 2:SUITE 103
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-7865
Practice Address - Country:US
Practice Address - Phone:415-509-1854
Practice Address - Fax:619-482-1217
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA502021223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry