Provider Demographics
NPI:1548504475
Name:ALATORRE DENTAL P.L.L.C.
Entity type:Organization
Organization Name:ALATORRE DENTAL P.L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSALYND
Authorized Official - Middle Name:
Authorized Official - Last Name:ALATORRE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:702-362-9974
Mailing Address - Street 1:2815 S RAINBOW BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-5166
Mailing Address - Country:US
Mailing Address - Phone:702-362-9974
Mailing Address - Fax:702-362-0107
Practice Address - Street 1:2815 S RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5166
Practice Address - Country:US
Practice Address - Phone:702-362-9974
Practice Address - Fax:702-362-0107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty