Michelle De Fazio, DDS Valid NPI
Individual provider · Dentist · Coral Gables, FL
- NPI
- 1962894683
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- DN21777 (FL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2015-03-04
- Last updated
- 2020-12-16
Practice location
1 Alhambra Plz Ste 25
Coral Gables, FL 33134-5216
(786) 507-4440