# ALEXANDREA WABARA

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

## Provider details

- **NPI number:** 1417405911
- **Gender:** F
- **Credential:** D.M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 7189 | NV | Yes |
| 1223G0001X | General Practice Dentistry | 32269 | TX | — |

## Other

- **Enumeration date:** 09/14/2016
- **Last updated:** 09/11/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1417405911 | — | NV |