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Organization

RICCI ORTHODONTIC STUDIO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALYSSA GUTIERREZ RICCI DDS, MSD (OWNER ORTHODONTIST)
(305) 773-8035
Entity
Organization

Contact information

Practice address
7950 NW 53RD ST UNIT 126-127, DORAL, FL 33166-4653
(305) 847-4224
Mailing address
4320 NW 80TH AVE, DORAL, FL 33166-5694
(305) 773-8035

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
01/04/2023
Last updated
01/22/2023
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