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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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