| NPI | 1457448482 |
|---|---|
| Former Name | GLORY L. ALVARADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2017028236) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 20863) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-04-14 |