Organization
ALVEAR DENTAL OFFICE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUTH ALVEAR DDS (OWNER/DENTIST)
(718) 639-8932
Entity
Organization
Contact information
Practice address
5117 43RD AVE, WOODSIDE, NY 11377-4540
(718) 639-8932
(718) 301-0195
Mailing address
5117 43RD AVE, WOODSIDE, NY 11377-4540
(718) 639-8932
(718) 301-0195
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044882-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01468560
—
NY
Enumeration date
11/29/2011
Last updated
11/29/2011
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