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Breanna Lee Irizarry, DMD
Student in an Organized Health Care Education/Training Program in Richmond, Virginia
NPI 1184366114

Breanna Lee Irizarry is a Student in an Organized Health Care Education/Training Program based in Richmond, VA. Breanna Lee Irizarry practices in Richmond, VA and has the professional credentials of DMD. The NPI Number for Breanna Lee Irizarry is 1184366114 and holds a License No. 0442000445 (Virginia).

The current practice location address for Breanna Lee Irizarry is 1250 E Marshall St, Richmond, VA and can be reached out via phone at 804-828-0602.

Location: 1250 E Marshall St, Richmond, VA, 23298-5066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184366114
Provider Name
Breanna Lee Irizarry
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1250 E Marshall St, Richmond, VA, 23298-5066
Phone Number
804-828-0602
Fax Number
Provider Enumeration Date
04/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1250 E Marshall St
City
Richmond
State
Virginia
Zip
23298-0566
Phone Number
804-828-0602
Fax Number
person
Provider Business Mailing Address Details
Address
1250 E Marshall St
City
Richmond
State
Virginia
Zip
23298-0566
Phone Number
804-828-0602
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0442000445 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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