Individual
DR. ALEXANDRE EIAN GAETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3951 SE FEDERAL HWY, STUART, FL 34997-4900
(772) 888-0114
Mailing address
4115 GLENCOE AVE APT 209, MARINA DEL REY, CA 90292-3801
(626) 264-0182
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
101826
CA
1223G0001X
General Practice Dentistry
Primary
DN22988
FL
Other
Enumeration date
08/12/2017
Last updated
08/12/2017
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