# ALVAREZ DENTAL SMILE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689045908
- **Authorized official:** JUAN EDUARDO ALVAREZ (PROSTHODONTIC)
- **Authorized official phone:** (703) 433-0080

## Contact information

- **Practice address:** 14 PIDGEON HILL DR, SUITE 170, STERLING, VA 20165-6155
- **Practice address phone:** (703) 433-0080
- **Practice address fax:** (703) 433-0081
- **Mailing address:** 14 PIDGEON HILL DR, SUITE 170, STERLING, VA 20165-6155
- **Mailing address phone:** (703) 433-0080
- **Mailing address fax:** (703) 433-0081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401412958 | VA | Yes |

## Other

- **Enumeration date:** 10/13/2015
- **Last updated:** 10/13/2015