Provider Demographics
NPI:1841341294
Name:ALMADA, ALBERT CARLOS (DDS)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:CARLOS
Last Name:ALMADA
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 1:3231 GIANT FOREST LOOP
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-1509
Mailing Address - Country:US
Mailing Address - Phone:909-628-0650
Mailing Address - Fax:
Practice Address - Street 1:3001 W BEVERLY BLVD
Practice Address - Street 2:STE 104
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-2255
Practice Address - Country:US
Practice Address - Phone:323-727-9911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28420122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist