Individual
ANDREA GISPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3614 SW 58TH AVE, WEST PARK, FL 33023-6131
(754) 465-4055
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 689-6725
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29390
FL
Other
Enumeration date
01/08/2022
Last updated
07/17/2024
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