| NPI | 1558422956 |
|---|---|
| Former Name | JEANNIE ELIZABETH ALVARADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 8680) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 053016-1) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-02-07 |