Provider Demographics
NPI:1548460579
Name:ARCE, SIXTO ALEJANDRO (DDS)
Entity type:Individual
Prefix:DR
First Name:SIXTO
Middle Name:ALEJANDRO
Last Name:ARCE
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 1:2447 MISSION ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2414
Mailing Address - Country:US
Mailing Address - Phone:415-824-2500
Mailing Address - Fax:415-643-8432
Practice Address - Street 1:2447 MISSION ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2414
Practice Address - Country:US
Practice Address - Phone:415-824-2500
Practice Address - Fax:415-643-8432
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA236931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice