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Individual

CYNTHIA X ALEGRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DE00010253
WA
1223P0221X
Pediatric Dentistry
Primary
DE00010253
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0202979
STATE LABOR & INDUSTRIES
WA
01
1021AL
REGENCE BLUE SHIELD
WA
05
5049424
WA
Enumeration date
10/27/2006
Last updated
03/01/2018
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