Individual
CODRINA ALEXANDRA BASTON GERIGUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2670 GARDEN ST, TITUSVILLE, FL 32796-3176
(321) 267-1526
Mailing address
9304 MOSS PRESERVE PKWY APT 306, ORLANDO, FL 32832-6726
(760) 805-4588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
109604
CA
Other
Enumeration date
01/18/2024
Last updated
07/31/2025
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