Fausto Nicieza D.m.d.,p.a.

NPI #1467642470 in Hialeah, Florida

Provider Information

NPI Number
1467642470
Entity Type
Organization
Organization Name
Fausto Nicieza D.m.d.,p.a.
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 26, 2007
Last Updated
Jul 26, 2007

Practice Location

Address
1491 E 4TH AVE
State
Florida
ZIP Code
33010-3527
Phone
(305) 888-8260

Authorized Official

Name
FAUSTO NICIEZA, D.M.D.
Title
DENTIST/PRESIDENT
Phone
(305) 888-8260

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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