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Individual

DR. JENELLE ALVAREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2301 E ALLEGHENY AVE STE 201, PHILADELPHIA, PA 19134-4427
(215) 282-8000
Mailing address
1520 HAMILTON ST APT 423, PHILADELPHIA, PA 19130-4278
(786) 853-6139

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043616
PA
1223P0221X
Pediatric Dentistry
DS043616
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
236
PA
01
568946544
BCBS
01
5874
HEALTH PARTNERS
Enumeration date
06/01/2022
Last updated
06/01/2022
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