Individual
DR. ALEXANDER MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(813) 546-0223
Mailing address
10625 FAIRFIELD VILLAGE DR, TAMPA, FL 33624-5080
(813) 546-0223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 22198
FL
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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