Provider Demographics
NPI:1649314691
Name:ALIKPALA, ELIZABETH A (DDS)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:ALIKPALA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:A
Other - Last Name:ALCARAZ-ALIKPALA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:5825 LINCOLN AVE
Mailing Address - Street 2:SUTIE D-280
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-3463
Mailing Address - Country:US
Mailing Address - Phone:626-627-2887
Mailing Address - Fax:
Practice Address - Street 1:5825 LINCOLN AVE
Practice Address - Street 2:SUTIE D-280
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-3463
Practice Address - Country:US
Practice Address - Phone:626-627-2887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA514631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD51463OtherDENTICAL SERVICE PROVIDER