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Individual

DR. ALEJANDRO ANDRES NIEVES MONTALVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1012 US-98, UNIT 1, DESTIN, FL 32541
(786) 451-0701
Mailing address
2638 NW 104TH AVE APT 106, SUNRISE, FL 33322-6305
(786) 451-0701

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26942
FL

Other

Enumeration date
06/13/2022
Last updated
06/13/2022
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