Individual
DR. ALEXIS BIANCA ALICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23224-4915
(804) 675-5000
Mailing address
9600 BEEKMAN LN APT 1325, HENRICO, VA 23228-2215
(407) 755-9398
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0442000534
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
02/26/2025
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