Individual
ALEJANDRA MICHELLE RIERA DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10670 SW TRADITION PKWY, PORT ST LUCIE, FL 34987-2862
(772) 345-8332
(772) 345-8337
Mailing address
1875 JAMESTOWN LN APT 9306, WEST MELBOURNE, FL 32904-6185
(787) 649-8544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25286
FL
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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