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Individual
DR. JENELLE ALVAREZ
Active
Individual
DR. JENELLE ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043616
PA
1223P0221X
Pediatric Dentistry
DS043616
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
PA
01
—
568946544
BCBS
—
01
—
5874
HEALTH PARTNERS
—
Enumeration date
06/01/2022
Last updated
06/01/2022
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