Gabaldon, Mariana

Gabaldon, Mariana is an individual health care provider with primary practice located at 19592 Nw 83Rd Ct , Hialeah FL 33015-5958. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Gabaldon, Mariana can be contacted via phone (786) 436-0775.

Contact Information

Primary practice address
19592 Nw 83Rd Ct Hialeah FL 33015-5958
Phone: (786) 436-0775
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X DN 19159 Florida

Profile Details

NPI number 1316112436
LBN Legal business name Gabaldon, Mariana
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2008
Last updated Jul 13th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316112436 NPPES
Florida MEDICAID 1316112436

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