Individual
ANGELA BETH ALWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDH
Contact information
Practice address
326 CHAPIN ST, SOUTH BEND, IN 46601-2541
(574) 335-8222
Mailing address
56353 PRIMROSE CIR, ELKHART, IN 46516-1510
(574) 360-6949
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
13004683A
IN
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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