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General NPI Number Information
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NPI Number | 1649152281
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Entity Type | Organization
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Legal Business Name | GENESEE DENTISTS INC
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 4504 CLAIREMONT MESA BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92117-2065
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Country | US
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Telephone | 858-433-4358
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Fax | 858-529-1869
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Provider Business Mailing Address
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Address Line | PO BOX 660041
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City | DALLAS
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State | TX
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Zip | 75266-0041
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Country | US
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Telephone | 714-845-8890
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Fax | 303-952-0892
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN C ALVARADO
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Credential | DDS
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Telephone | 858-433-4358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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