Provider Demographics
NPI:1457973208
Name:AYDEE ALMARAZ
Entity Type:Organization
Organization Name:AYDEE ALMARAZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST AND MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AYDEE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMARAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-209-8924
Mailing Address - Street 1:236 E 1ST. PMB. 1964
Mailing Address - Street 2:
Mailing Address - City:CALEXICO
Mailing Address - State:CA
Mailing Address - Zip Code:92231
Mailing Address - Country:US
Mailing Address - Phone:686-164-9807
Mailing Address - Fax:
Practice Address - Street 1:AV VIGO 1164
Practice Address - Street 2:
Practice Address - City:MEXICALI
Practice Address - State:BAJA CALIFORNIA
Practice Address - Zip Code:21337
Practice Address - Country:MX
Practice Address - Phone:619-209-8924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-15
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty