Individual
DR. MARINO JAVIER ALEA IGLESIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5209 W 65TH ST, LITTLE ROCK, AR 72209-3817
(501) 565-7881
Mailing address
PO BOX 1293, LATHROP, CA 95330-1293
(501) 256-1030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60649
CA
1223G0001X
General Practice Dentistry
3505
AR
Other
Enumeration date
02/01/2007
Last updated
12/18/2018
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