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1396330551
JUAN ALVA
LAKELAND, FL
NPI
1396330551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: FL 21058)
Enumeration Date
2021-03-09
Last Update Date
2021-03-09
Business Address
JUAN ALVA RDH
814 N KENTUCKY AVE
LAKELAND, FL 33801-1706
Phone number: 863-687-8475
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Mailing Address
JUAN ALVA RDH
6527 68TH ST E
BRADENTON, FL 34203-9760
Phone number: 941-524-1878
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