Provider Demographics
NPI:1942536628
Name:AGUIRRE, ALVARO ADRIAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALVARO
Middle Name:ADRIAN
Last Name:AGUIRRE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1170 BAKER ST
Mailing Address - Street 2:SUITE #E
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-4100
Mailing Address - Country:US
Mailing Address - Phone:949-892-8924
Mailing Address - Fax:
Practice Address - Street 1:1170 BAKER ST
Practice Address - Street 2:SUITE #E
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-4100
Practice Address - Country:US
Practice Address - Phone:956-399-4312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-30
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25018122300000X
CA61394122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist