Individual
ANDRES ALBERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
579 10TH ST E, PALMETTO, FL 34221-4013
(941) 315-9914
Mailing address
579 10TH ST E, PALMETTO, FL 34221-4013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN23476
FL
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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