Individual provider · Type 1 NPI

Angelina Alekseevna Mitianova

Dentist · Fort Lauderdale, FL

NPI number 1578361069 Active

Practice location

1324 SE 17th St
Fort Lauderdale, FL 33316-1708

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN30997 (FL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1578361069

Angelina Alekseevna Mitianova's National Provider Identifier is 1578361069, issued on Mar 3, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on May 28, 2026.