Provider Demographics
NPI:1033674098
Name:PRIETO, HILDA (DDS)
Entity Type:Individual
Prefix:DR
First Name:HILDA
Middle Name:
Last Name:PRIETO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10644 SW 6TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PNES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-6907
Mailing Address - Country:US
Mailing Address - Phone:954-410-5820
Mailing Address - Fax:
Practice Address - Street 1:10644 SW 6TH ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PNES
Practice Address - State:FL
Practice Address - Zip Code:33025-6907
Practice Address - Country:US
Practice Address - Phone:954-410-5820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103525122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty