Provider Demographics
NPI:1558968784
Name:ALVAREZ NOBOA, FRANCINA (DMD)
Entity Type:Individual
Prefix:
First Name:FRANCINA
Middle Name:
Last Name:ALVAREZ NOBOA
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 1:134 GRAND PL
Mailing Address - Street 2:
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-1847
Mailing Address - Country:US
Mailing Address - Phone:201-246-0080
Mailing Address - Fax:
Practice Address - Street 1:134 GRAND PL
Practice Address - Street 2:
Practice Address - City:KEARNY
Practice Address - State:NJ
Practice Address - Zip Code:07032-1847
Practice Address - Country:US
Practice Address - Phone:201-246-0080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-01
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18588211223G0001X
NJ22DI028239001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice