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Individual
ALEXANDER DAVID DEGENOVA
Active
Individual
ALEXANDER DAVID DEGENOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, MS, DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7643
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2022
Last updated
05/20/2025
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