Provider First Line Business Practice Location Address:
123 WHITEHALL RD
Provider Second Line Business Practice Location Address:
ALVAREZ DENTAL PLLC
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-436-9771
Provider Business Practice Location Address Fax Number:
518-436-9794
Provider Enumeration Date:
09/05/2006