Provider Demographics
NPI:1427823087
Name:IRENE ALVAREZ RDHAP
Entity type:Organization
Organization Name:IRENE ALVAREZ RDHAP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RDHAP
Authorized Official - Phone:209-658-1007
Mailing Address - Street 1:2361 PASEO DE LEON
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-8676
Mailing Address - Country:US
Mailing Address - Phone:209-658-1007
Mailing Address - Fax:
Practice Address - Street 1:2660 BROWNELL ST
Practice Address - Street 2:
Practice Address - City:ATWATER
Practice Address - State:CA
Practice Address - Zip Code:95301-3013
Practice Address - Country:US
Practice Address - Phone:209-658-1007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-23
Last Update Date:2023-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty