Provider Demographics
NPI:1972826030
Name:ALEXANDRESCU, DIANA E (DDS)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:E
Last Name:ALEXANDRESCU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3240 MAGUIRE WAY APT 213
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-8602
Mailing Address - Country:US
Mailing Address - Phone:650-483-5986
Mailing Address - Fax:
Practice Address - Street 1:3240 MAGUIRE WAY APT 213
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-8602
Practice Address - Country:US
Practice Address - Phone:650-483-5986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA590041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice