Individual
SUE DASHTAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
232 N ORANGE BLOSSOM TRL, ORLANDO, FL 32805-1612
(407) 428-1672
(407) 481-8638
Mailing address
232 N ORANGE BLOSSOM TRL, ORLANDO, FL 32805-1612
(407) 428-1672
(407) 481-8638
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 16018
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH 16018
REGISTERED DENTAL HYGIENI
FL
Enumeration date
12/20/2006
Last updated
07/08/2007
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