Organization
FAUSTO NICIEZA D.M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAUSTO NICIEZA D.M.D. (DENTIST/PRESIDENT)
(305) 888-8260
Entity
Organization
Contact information
Practice address
1491 E 4TH AVE, HIALEAH, FL 33010-3527
(305) 888-8260
(305) 888-5531
Mailing address
1491 E 4TH AVE, HIALEAH, FL 33010-3527
(305) 888-8260
(305) 888-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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