Individual
ALYSSA GUTIERREZ RICCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
7950 NW 53RD ST UNIT 126-127, DORAL, FL 33166-4653
(305) 847-4224
Mailing address
4320 NW 80TH AVE, DORAL, FL 33166-5694
(305) 773-8035
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0442000303
VA
Other
Enumeration date
08/18/2017
Last updated
02/09/2023
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