Individual
DR. LIDIA ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1401 S FEDERAL HWY, FORT LAUDERDALE, FL 33316-2619
(954) 728-1138
(954) 523-4348
Mailing address
1700 NW 49TH STREET, SUITE 125, FORT LAUDERDALE, FL 33309-3763
(954) 728-8080
(954) 523-4348
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
DN13023
FL
1223P0221X
Pediatric Dentistry
Primary
DN13023
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075414500
—
FL
Enumeration date
03/19/2007
Last updated
09/20/2017
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