Individual
JUAN EDUARDO ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21287 SOUTHOLME WAY, ASHBURN, VA 20147-6087
(585) 694-2102
Mailing address
21287 SOUTHOLME WAY, ASHBURN, VA 20147-6087
(585) 694-2102
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0401412958
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/29/2009
Last updated
02/14/2015
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