Individual
ALEXANDRA ZABALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3000
(239) 658-3091
Mailing address
2209 NE 9TH AVE, CAPE CORAL, FL 33909-3425
(239) 895-6719
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21560
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015573600
—
FL
Enumeration date
08/20/2015
Last updated
03/09/2016
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