Dr. Lidia Alonso, DMD
Dentist, Pediatric Dentistry in Fort Lauderdale, FL. Individual provider (NPI-1).
NPI number1508980871
StatusActive
Last updated in NPPESSep 20, 2017
Details
- NPI
- 1508980871
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lidia Alonso
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2007
- Last updated
- Sep 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | DN13023 | FL | Yes |
| 1223D0001X | Dentist, Dental Public Health | DN13023 | FL |
Practice location
1401 S Federal HwyFort Lauderdale, FL 33316-2619
Phone 954-728-1138 · Fax 954-523-4348
Mailing address
1700 Nw 49th StreetSuite 125
Fort Lauderdale, FL 33309-3763
Phone 954-728-8080 · Fax 954-523-4348
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