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Contact Information

MARINO J ALEA IGLESIAS, DDS
5209 W 65TH ST
LITTLE ROCK, AR72209-3817
 Phone: 501-565-7881
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MARINO J ALEA IGLESIAS · (Male)

NPI Number 1518004944
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/01/2007
Last updated 12/18/2018 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 3505
  • CA License # 60649
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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