Provider Demographics
NPI:1164513735
Name:SLAVESCU, GABRIEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:
Last Name:SLAVESCU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1749 NE 26TH STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33305-2039
Mailing Address - Country:US
Mailing Address - Phone:954-247-8784
Mailing Address - Fax:
Practice Address - Street 1:1749 NE 26TH STREET
Practice Address - Street 2:SUITE B
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33305-2039
Practice Address - Country:US
Practice Address - Phone:954-247-8784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00149461223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics