# ALINE DUFRESNE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376980300
- **Gender:** F
- **Credential:** D.M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 1001422-15 | WI | Yes |
| 1223P0221X | Pediatric Dentistry | 15724 | MD | — |

## Other

- **Enumeration date:** 05/31/2013
- **Last updated:** 04/25/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 097733100 | — | MD |
