| Fausto Nicieza D.m.d.,p.a. | |
|
1491 E 4th Ave Hialeah FL 33010-3527 | |
| (305) 888-8260 | |
| (305) 888-5531 |
| Full Name | Fausto Nicieza D.m.d.,p.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1491 E 4th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Fausto Nicieza (DENTIST/PRESIDENT) |
| Authorized Official Contact | 3058888260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fausto Nicieza D.m.d.,p.a. 1491 E 4th Ave Hialeah FL 33010-3527 Ph: (305) 888-8260 | Fausto Nicieza D.m.d.,p.a. 1491 E 4th Ave Hialeah FL 33010-3527 Ph: (305) 888-8260 |
| NPI Number | 1467642470 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 07/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467642470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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