Individual
DR. JESSICA BEATRIZ RICCOBONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
880 N MIAMI BEACH BLVD, NORTH MIAMI BEACH, FL 33162-3701
(954) 681-2298
Mailing address
2465 POINCIANA DR, WESTON, FL 33327-1414
(954) 681-2298
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN24549
FL
1223G0001X
General Practice Dentistry
35873
TX
Other
Enumeration date
01/06/2020
Last updated
10/18/2022
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