Provider Demographics
NPI:1114239787
Name:D'ALESSANDRIA, NESTOR HUMBERTO (DMD)
Entity Type:Individual
Prefix:DR
First Name:NESTOR
Middle Name:HUMBERTO
Last Name:D'ALESSANDRIA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8320 W SUNRISE BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-5435
Mailing Address - Country:US
Mailing Address - Phone:954-414-8018
Mailing Address - Fax:954-507-6805
Practice Address - Street 1:8320 W SUNRISE BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-5435
Practice Address - Country:US
Practice Address - Phone:954-414-8018
Practice Address - Fax:954-507-6805
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-11
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDN 190591223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry