| NPI | 1629087408 |
|---|---|
| Former Name | SUSAN ISABEL ALVAREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8681) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00009344) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2017-01-16 |