Provider Demographics
NPI:1265928774
Name:SMITH-ALVAREZ, EMILIA (DMD)
Entity type:Individual
Prefix:DR
First Name:EMILIA
Middle Name:
Last Name:SMITH-ALVAREZ
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 1:346 GULF RD
Mailing Address - Street 2:
Mailing Address - City:KEY BISCAYNE
Mailing Address - State:FL
Mailing Address - Zip Code:33149-1606
Mailing Address - Country:US
Mailing Address - Phone:786-346-7002
Mailing Address - Fax:
Practice Address - Street 1:7741 SW 62ND AVE
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4908
Practice Address - Country:US
Practice Address - Phone:305-676-0008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN23405122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist