Individual
JESSICA FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2999 NE 191ST ST STE 210, AVENTURA, FL 33180-3115
(305) 935-4991
Mailing address
555 NE 34TH ST APT 2408, MIAMI, FL 33137-6089
(561) 779-7826
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29260
FL
Other
Enumeration date
06/27/2024
Last updated
07/17/2024
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