Provider Demographics
NPI:1861531618
Name:LINARES, FLORIDALMA (DDS)
Entity type:Individual
Prefix:DR
First Name:FLORIDALMA
Middle Name:
Last Name:LINARES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5465 SANTA MONICA BLVD
Mailing Address - Street 2:SUITE # 102
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-2339
Mailing Address - Country:US
Mailing Address - Phone:323-467-8668
Mailing Address - Fax:323-467-8758
Practice Address - Street 1:5465 SANTA MONICA BLVD
Practice Address - Street 2:SUITE # 102
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-2339
Practice Address - Country:US
Practice Address - Phone:323-467-8668
Practice Address - Fax:323-467-8758
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46872122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG93612-01OtherDENTICAL
CA46872OtherDELTA DENTAL