Provider Demographics
NPI:1992865968
Name:ALAMO, ESTELA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ESTELA
Middle Name:
Last Name:ALAMO
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 1:4144 N ARMENIA AVE STE 260
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6449
Mailing Address - Country:US
Mailing Address - Phone:813-876-6065
Mailing Address - Fax:813-354-0969
Practice Address - Street 1:4144 N ARMENIA AVE STE 260
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6449
Practice Address - Country:US
Practice Address - Phone:813-876-6065
Practice Address - Fax:813-354-0969
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN153591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice