Individual
OSWALDO ALFONSO NIEVES VACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
3300 S UNIVERSITY DR, FT LAUDERDALE, FL 33328-2004
(954) 262-7373
(954) 262-1782
Mailing address
3300 S UNIVERSITY DR, FT LAUDERDALE, FL 33328-2004
(954) 262-7373
(954) 262-1782
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DTP801
FL
1223P0700X
Prosthodontics
Primary
DTP807
FL
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
03/12/2026
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