Individual
DAVID ALEJANDRO TIJERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
530 NW 109TH AVE APT 2, MIAMI, FL 33172-3780
(860) 965-7148
Mailing address
530 NW 109TH AVE APT 2, MIAMI, FL 33172-3780
(860) 965-7148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21007
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014183700
—
FL
Enumeration date
06/30/2009
Last updated
07/23/2015
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