Valderrama Dougherty, Natalia
Valderrama Dougherty, Natalia is an sole proprietor health care provider with primary practice located at 903 Jordan Blass Dr Ste 102 , Melbourne FL 32940-1325. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Valderrama Dougherty, Natalia can be contacted via phone (321) 544-4127.Contact Information
Primary practice address
903 Jordan Blass Dr Ste 102
Melbourne FL 32940-1325
Phone: (321) 544-4127
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | DN19651 | Florida |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN19651 | Florida |
Profile Details
NPI number | 1275880742 |
---|---|
LBN Legal business name | Valderrama Dougherty, Natalia |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 14th, 2012 |
Last updated | Jul 28th, 2015 - about 9 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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