# RAFAELLA SAMPAIO, DMD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356053912
- **Authorized official:** DR. RAFAELLA SAMPAIO DMD (GENERAL DENTIST)
- **Authorized official phone:** (239) 772-5005

## Contact information

- **Practice address:** 1527 SE 16TH PL, CAPE CORAL, FL 33990-6845
- **Practice address phone:** (239) 772-5005
- **Mailing address:** 1527 SE 16TH PL, CAPE CORAL, FL 33990-6845
- **Mailing address phone:** (239) 772-5005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/15/2022
- **Last updated:** 12/15/2022