Utset-Ward, Luisa M

Utset-Ward, Luisa M is an individual health care provider with primary practice located at 655 Sw 20Th Rd , Miami FL 33129-1325. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Utset-Ward, Luisa M can be contacted via phone (305) 785-5391.

Contact Information

Primary practice address
655 Sw 20Th Rd Miami FL 33129-1325
Phone: (305) 785-5391
Fax: (305) 858-9478
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN0010987 Florida

Profile Details

NPI number 1912926080
LBN Legal business name Utset-Ward, Luisa M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated May 3rd, 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 1912926080 NPPES
Florida MEDICAID 0722316-00

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