| Alvear Dental Office P.c. | |
|
5117 43rd Ave Woodside NY 11377-4540 | |
| (718) 639-8932 | |
| (718) 301-0195 |
| Full Name | Alvear Dental Office P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5117 43rd Ave, Woodside, New York |
| Authorized Official Name and Position | Ruth Alvear (OWNER/DENTIST) |
| Authorized Official Contact | 7186398932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alvear Dental Office P.c. 5117 43rd Ave Woodside NY 11377-4540 Ph: (718) 639-8932 | Alvear Dental Office P.c. 5117 43rd Ave Woodside NY 11377-4540 Ph: (718) 639-8932 |
| NPI Number | 1356618805 |
|---|---|
| Provider Enumeration Date | 11/29/2011 |
| Last Update Date | 11/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356618805 | NPI | - | NPPES |
| 01468560 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 044882-1 (New York) | Primary |
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