Provider Demographics
NPI:1083871198
Name:ALVA, AURORA ROCIO (DMD)
Entity Type:Individual
Prefix:DR
First Name:AURORA
Middle Name:ROCIO
Last Name:ALVA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:IM WENGERT 17/1
Mailing Address - Street 2:
Mailing Address - City:LEONBERG
Mailing Address - State:BW
Mailing Address - Zip Code:71229
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:IM WENGERT 17/1
Practice Address - Street 2:
Practice Address - City:LEONBERG
Practice Address - State:BW
Practice Address - Zip Code:71229
Practice Address - Country:DE
Practice Address - Phone:617-909-5459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-18
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA592511223P0221X
MA219411223P0221X
TX286631223P0221X
GADN0154731223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry