Individual
RICARDO ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDAEF2
Contact information
Practice address
4149 TWEEDY BLVD, STE J, SOUTH GATE, CA 90280-6167
(323) 567-3333
(310) 820-0177
Mailing address
4149 TWEEDY BLVD, STE J, SOUTH GATE, CA 90280-6167
(323) 567-3333
(310) 820-0177
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
AEF1732
CA
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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