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Individual

DR. ALEXANDRE LOMBARDI VIDAL LEITE RIBEIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
817 S UNIVERSITY DR STE 107, PLANTATION, FL 33324-3345
(954) 476-0770
Mailing address
6202 OSPREY TER, COCONUT CREEK, FL 33073-2619
(305) 905-7537

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
0401411932
VA
1223P0300X
Periodontics
Primary
DN19153
FL

Other

Enumeration date
10/17/2008
Last updated
08/06/2010
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