Alonso, Lidia

Alonso, Lidia is an individual health care provider with primary practice located at 1401 S Federal Hwy , Fort Lauderdale FL 33316-2619. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Alonso, Lidia can be contacted via phone (954) 728-1138.

Contact Information

Primary practice address
1401 S Federal Hwy Fort Lauderdale FL 33316-2619
Phone: (954) 728-1138
Fax: (954) 523-4348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X DN13023 Florida
Dental Providers / Pediatric Dentistry 1223P0221X DN13023 Florida

Profile Details

NPI number 1508980871
LBN Legal business name Alonso, Lidia
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Sep 20th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508980871 NPPES
Florida MEDICAID 075414500

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