Individual
DR. EDNA ALFONSO-VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4230 SW 152ND AVE, MIAMI, FL 33185-5252
(305) 485-5547
(305) 485-5528
Mailing address
15766 SW 46TH TER, MIAMI, FL 33185-3806
(305) 220-1008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 13215
FL
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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