Provider Demographics
NPI:1184324139
Name:WINTERGERST, ALBERTO (DDS)
Entity type:Individual
Prefix:MR
First Name:ALBERTO
Middle Name:
Last Name:WINTERGERST
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 1:710E SAN YSIDRO BLVD
Mailing Address - Street 2:1311
Mailing Address - City:SAN YSIDRO
Mailing Address - State:CA
Mailing Address - Zip Code:92173
Mailing Address - Country:US
Mailing Address - Phone:619-372-5409
Mailing Address - Fax:
Practice Address - Street 1:PASEO DEL CENTENARIO 9580
Practice Address - Street 2:801
Practice Address - City:ZONA URBANA RIO
Practice Address - State:TIJUANA BAJA CALIFORNIA
Practice Address - Zip Code:22010
Practice Address - Country:MX
Practice Address - Phone:619-372-5409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program