Provider Demographics
NPI:1184787293
Name:CENABRE, ALVIN JOHN (DDS)
Entity type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:JOHN
Last Name:CENABRE
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 1:16985 SOUTH MONTEREY RD.
Mailing Address - Street 2:SUITE A-300
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037
Mailing Address - Country:US
Mailing Address - Phone:408-778-8555
Mailing Address - Fax:408-778-8558
Practice Address - Street 1:16985 SOUTH MONTEREY RD.
Practice Address - Street 2:SUITE A-300
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037
Practice Address - Country:US
Practice Address - Phone:408-778-8555
Practice Address - Fax:408-778-8558
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA552031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice