Individual
DR. ALEXIS MARIE OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
22950 SW 192ND AVE, MIAMI, FL 33170-5102
(305) 794-1179
Mailing address
22950 SW 192ND AVE, MIAMI, FL 33170-5102
(305) 794-1179
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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