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Individual

ALEJANDRO DIAZ TEJEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
17971 BISCAYNE BLVD STE 101, AVENTURA, FL 33160-2531
(305) 891-0600
Mailing address
11358 LITTLE BEAR DR, BOCA RATON, FL 33428-2608

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN25810
FL

Other

Enumeration date
06/22/2021
Last updated
06/22/2021
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