Provider Demographics
NPI:1730452590
Name:FERRER-DUCHESNE, ALEYDA AMERICA (DMD)
Entity type:Individual
Prefix:DR
First Name:ALEYDA
Middle Name:AMERICA
Last Name:FERRER-DUCHESNE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 NW ALBRITTON LN
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32055-4451
Mailing Address - Country:US
Mailing Address - Phone:386-752-5904
Mailing Address - Fax:386-755-3078
Practice Address - Street 1:173 NW ALBRITTON LN
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32055-4451
Practice Address - Country:US
Practice Address - Phone:386-752-5904
Practice Address - Fax:386-755-3078
Is Sole Proprietor?:No
Enumeration Date:2012-02-09
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN19644122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist