Provider Demographics
NPI:1780428540
Name:ALVARADO, STEPHANIE (DDS)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:ALVARADO HERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1417 N OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-3740
Mailing Address - Country:US
Mailing Address - Phone:714-225-8245
Mailing Address - Fax:
Practice Address - Street 1:1417 N OLIVE ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-3740
Practice Address - Country:US
Practice Address - Phone:714-225-8245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program