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Individual
DR. ALICE M. OTTAVI
Active
Individual
DR. ALICE M. OTTAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9919
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015210
DORAL DENTAL
MN
01
—
1727
HEALTH PARTNERS
MN
01
—
46092 DE
BLUE CROSS BLUE SHIELD
MN
01
—
978483
UNITED CONCORDIA
MN
Enumeration date
07/25/2006
Last updated
07/09/2007
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