Provider Demographics
NPI:1265711147
Name:ALVAREZ, MICHELLE HELEN (DDS)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:HELEN
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2731 S ROSE AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93033-3963
Mailing Address - Country:US
Mailing Address - Phone:805-483-3658
Mailing Address - Fax:
Practice Address - Street 1:2731 S ROSE AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93033-3963
Practice Address - Country:US
Practice Address - Phone:805-483-3658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60733122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist