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Individual

DR. LAUREN ELIZABETH ALAVANJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
919 E JEFFERSON BLVD, SOUTH BEND, IN 46617-3112
(574) 245-7501
Mailing address
919 E JEFFERSON BLVD, SOUTH BEND, IN 46617-3112
(574) 245-7501
(574) 245-7502

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
12011945A
IN
1223P0221X
Pediatric Dentistry
Primary
12011945A
IN

Other

Enumeration date
06/01/2013
Last updated
09/04/2023
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