Provider Demographics
NPI:1811156292
Name:LEILANI ALARCON DDS INC
Entity type:Organization
Organization Name:LEILANI ALARCON DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LEILANI
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALARCON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-747-3140
Mailing Address - Street 1:950 E PENNSULVANIA AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025
Mailing Address - Country:US
Mailing Address - Phone:760-747-3140
Mailing Address - Fax:
Practice Address - Street 1:950 E PENNSULVANIA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025
Practice Address - Country:US
Practice Address - Phone:760-747-3140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40781122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty