Provider Demographics
NPI:1598746315
Name:MARIN, ALVARO JOSE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALVARO
Middle Name:JOSE
Last Name:MARIN
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:3706 82ND ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-7017
Mailing Address - Country:US
Mailing Address - Phone:718-565-8800
Mailing Address - Fax:718-565-2729
Practice Address - Street 1:3706 82ND ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7017
Practice Address - Country:US
Practice Address - Phone:718-565-8800
Practice Address - Fax:718-565-2729
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0234651223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology