Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0221X | Pediatric Dentist | 21941 | MA |
N | 1223P0221X | Pediatric Dentist | 28663 | TX |
N | 1223P0221X | Pediatric Dentist | 59251 | CA |
Y | 1223P0221X | Pediatric Dentist | DN015473 | GA |
NPI | 1083871198 |
---|---|
Provider Name | Dr. Aurora Rocio Alva |
First Address | Leonberg, BW 71229 |
Second Address | Leonberg, BW 71229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2008 |
Last Update Date | 11/11/2020 |