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Individual

DR. SUSAN ALVAREZ LOUISSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 772-8160
(502) 772-8189
Mailing address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 772-8160
(502) 772-8189

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8681
KY
1223G0001X
General Practice Dentistry
DE00009344
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5039680
WA
Enumeration date
08/07/2006
Last updated
01/16/2017
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