Individual
ALEXANDER LAVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
418 SUMMIT AVE, JERSEY CITY, NJ 07306-3101
(201) 499-1969
Mailing address
2130 APOLLO DR APT 9B, OCEAN, NJ 07712-2419
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03037000
NJ
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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