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Organization
R. MICHAEL ALVAREZ, DDS, INC.
Active
Organization
R. MICHAEL ALVAREZ, DDS, INC.
Active
Parent organization
R. MICHAEL ALVAREZ, DDS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
R. MICHAEL ALVAREZ, DDS, INC.
Authorized official
LOLA NIETO (OFFICE MANAGER)
(510) 713-6790
Entity
Organization
Contact information
Practice address
2188 PERALTA BLVD STE D, FREMONT, CA 94536-3941
(510) 713-6790
(510) 713-6794
Mailing address
2188 PERALTA BLVD STE D, FREMONT, CA 94536-3941
(510) 713-6790
(510) 713-6794
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154461150
DDS
CA
Enumeration date
03/02/2023
Last updated
03/02/2023
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