Provider Demographics
NPI:1356489876
Name:NASSER, RHONDA H (DDS, PA)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:H
Last Name:NASSER
Suffix:
Gender:F
Credentials:DDS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 PERUVIAN AVE
Mailing Address - Street 2:SUITE R2
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-6034
Mailing Address - Country:US
Mailing Address - Phone:561-655-0666
Mailing Address - Fax:561-655-5650
Practice Address - Street 1:249 PERUVIAN AVE
Practice Address - Street 2:SUITE R2
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-6034
Practice Address - Country:US
Practice Address - Phone:561-655-0666
Practice Address - Fax:561-655-5650
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN128431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice