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Individual

ALEXANDER DAVID DEGENOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS, MS, DDS

Contact information

Practice address
5529 CHERLYN DR, NEW ORLEANS, LA 70124-1136
(504) 615-0066
Mailing address
5627 EVELYN CT, NEW ORLEANS, LA 70124-1044
(504) 615-0066

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7643
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/01/2022
Last updated
05/20/2025
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