Wasif, Sandra S

Wasif, Sandra S is an individual health care provider with primary practice located at 100 Burnsed Pl Suite 1000, Oviedo FL 32765-6695. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / Dentist. Dental Providers / Dental Public Health is her primary health care specialty. Wasif, Sandra S can be contacted via phone (407) 366-9090.

Contact Information

Primary practice address
100 Burnsed Pl Suite 1000 Oviedo FL 32765-6695
Phone: (407) 366-9090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X DN15762 Florida
Dental Providers / Dentist 122300000X DN15762 Florida

Profile Details

NPI number 1306811187
LBN Legal business name Wasif, Sandra S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated May 26th, 2014 - about 10 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 1306811187 NPPES
Florida MEDICAID 075214200
Florida Other 001347951

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