Jason R Alvarez Dentistry LLC
Dentist in Mandeville, LA. Organization (NPI-2).
NPI number1669908679
StatusActive
Last updated in NPPESMay 11, 2017
Details
- NPI
- 1669908679
- Entity type
- Organization (NPI-2)
- Legal business name
- Jason R Alvarez Dentistry LLC
- Organization subpart
- No
- Enumeration date
- May 11, 2017
- Last updated
- May 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 6261 | LA | Yes |
Practice location
2881 Highway 190Suite D4
Mandeville, LA 70471-3248
Phone 985-626-8980
Mailing address
6439 Catina StNew Orleans, LA 70124-2032
Phone 504-258-1022
Authorized official
Jason R Alvarez
Dentist
5042581022
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