Individual
NATALIA BESADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
4730 W STATE ROAD 46 STE 1220, SANFORD, FL 32771-9343
(407) 708-3144
Mailing address
4721 N 36TH CT, HOLLYWOOD, FL 33021-2226
(954) 646-1978
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
23365
FL
1223P0300X
Periodontics
Primary
DN23365
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151199
DENTAL INTERN PERMIT
NC
Enumeration date
07/09/2018
Last updated
06/18/2021
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