Provider Demographics
NPI:1932509023
Name:ADRIANA LALINDE DDS INC.
Entity Type:Organization
Organization Name:ADRIANA LALINDE DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LALINDE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:831-663-2660
Mailing Address - Street 1:17820 MORO RD
Mailing Address - Street 2:
Mailing Address - City:PRUNEDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93907-8564
Mailing Address - Country:US
Mailing Address - Phone:831-663-2660
Mailing Address - Fax:831-663-4531
Practice Address - Street 1:17820 MORO RD
Practice Address - Street 2:
Practice Address - City:PRUNEDALE
Practice Address - State:CA
Practice Address - Zip Code:93907-8564
Practice Address - Country:US
Practice Address - Phone:831-663-2660
Practice Address - Fax:831-663-4531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-26
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA488171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7225150001Medicare NSC