Provider Demographics
NPI:1316038987
Name:GABRIEL SLAVESCU DDS
Entity Type:Organization
Organization Name:GABRIEL SLAVESCU DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SLAVESCU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:954-247-8784
Mailing Address - Street 1:1749 NE 26TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33305-1428
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:WITLON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33305-2039
Practice Address - Country:US
Practice Address - Phone:954-247-8784
Practice Address - Fax:954-247-8784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
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?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty