Organization Name: | NUSMILE DENTAL- SEMINOLE |
NPI Number: | 1114333218 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NADIA ONEAL (DENTIST) |
Mailing Address: | 13611 Park Blvd Ste. G Seminole |
State: | FL US |
Postal Code: | 337763437 |
Phone Number: | 7273936962 |
Fax Number: | 8138372381 |
NPI Enumeration Date: | 07/09/2014 |
NPI Last Update Date: | 07/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |