Organization · Type 2 NPI

Gina Nicoloso DMD PLLC

Dental Clinic/Center · Hawthorne, FL

NPI number 1922869338 Active

Practice location

6605 SE 221st St
Hawthorne, FL 32640-3815

Fax (352) 481-5341

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

3 other providers at this address

About NPI 1922869338

Gina Nicoloso DMD PLLC's National Provider Identifier is 1922869338, issued on Jan 22, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Hawthorne, FL. The record was last updated on Jan 22, 2024.