Individual
ALEXANDRA ERBESTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
546 S 5TH ST, MACCLENNY, FL 32063-2602
(904) 259-5007
Mailing address
546 S 5TH ST, MACCLENNY, FL 32063-2602
(904) 259-5007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1578917571
FL
Other
Enumeration date
04/17/2016
Last updated
10/16/2020
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