Provider Demographics
NPI:1679330245
Name:VILLALOBOS ALFARO, CLAUDIA DINORA
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:DINORA
Last Name:VILLALOBOS ALFARO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 CHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5427
Mailing Address - Country:US
Mailing Address - Phone:661-748-7126
Mailing Address - Fax:
Practice Address - Street 1:210 S MONTCLAIR ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-3164
Practice Address - Country:US
Practice Address - Phone:661-748-7126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1099241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice