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Provider Information for 1710095401



MR. JORGE LUIS ALVAREZ DDS

Gender: MALE

Individual NPI: 1710095401

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1710095401
Enumeration Date 2006-08-25
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 310 N WILMOT RD
TUCSON, AZ 85711
United States

Phone: 520-722-1655 | Fax: 520-722-1972
View Map External Link
Primary Practice Address 310 N WILMOT RD
TUCSON, AZ 85711
United States

Phone: 520-722-1655 | Fax: 520-722-1972
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice AZ 4288