Provider Demographics
NPI:1750109039
Name:BALERDI, GABRIELA ALEJANDRA (DMD)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:ALEJANDRA
Last Name:BALERDI
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 1:6845 SW 85TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-2413
Mailing Address - Country:US
Mailing Address - Phone:786-282-9696
Mailing Address - Fax:
Practice Address - Street 1:6845 SW 85TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-2413
Practice Address - Country:US
Practice Address - Phone:786-282-9696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN295991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice