Jason R Alvarez Dentistry LLC

NPI #1669908679 in Mandeville, Louisiana

Provider Information

NPI Number: 1669908679
Entity Type: Organization
Organization Name: Jason R Alvarez Dentistry LLC
Primary Specialty: Dentist
Enumeration Date: May 11, 2017
Last Updated: May 11, 2017

Practice Location

Address: 2881 HIGHWAY 190
Address 2: SUITE D4
City: Mandeville
State: Louisiana
ZIP Code: 70471-3248
Phone: (985) 626-8980

Authorized Official

Name: DR. JASON R ALVAREZ, DDS
Title: DENTIST
Phone: (504) 258-1022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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