Individual
KRYSTAL REYES VIRUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
34 BARKLEY CIR, FORT MYERS, FL 33907-7530
(239) 275-6564
Mailing address
110 BERGEN ST, D-881, NEWARK, NJ 07103-2495
(973) 972-6613
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3429
PR
1223P0300X
Periodontics
DN22982
FL
Other
Enumeration date
03/06/2013
Last updated
08/28/2023
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