Individual
GRETEL VIVIANA ALVAREZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1250 SW 27TH AVE STE 203, MIAMI, FL 33135-4748
(323) 712-0348
Mailing address
13120 SW 92ND AVE APT B-417, MIAMI, FL 33176-5713
(786) 367-5449
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26234
FL
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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