Individual
ALESSANDRA RUSSELL DA CUNHA COELHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7420 NW 5TH ST STE 104, PLANTATION, FL 33317-1611
(954) 859-5538
(954) 859-5930
Mailing address
7420 NW 5TH ST STE 104, PLANTATION, FL 33317-1611
(954) 859-5538
(954) 859-5930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29163
FL
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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