# DR. CLEO BIANCA VIDICAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1184065294
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 11848 | TN | — |
| 122300000X | Dentist | 25780 | MT | — |
| 122300000X | Dentist | 2901600790 | MI | — |
| 122300000X | Dentist | D13261 | MN | — |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | 11848 | TN | — |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | 25780 | MT | Yes |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | 2901600790 | MI | — |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | D13261 | MN | — |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | DN23503 | FL | Yes |

## Other

- **Enumeration date:** 07/17/2013
- **Last updated:** 05/21/2026