Individual
ALICIA IRIZARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
21941 BRIARWOOD DR, FAIRVIEW PARK, OH 44126-2658
(216) 832-7114
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340715726
—
OH
Enumeration date
04/30/2018
Last updated
04/30/2018
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