Provider Demographics
NPI:1417037706
Name:BARROS, CASSIA TOLEDO PEDROSO (DDS)
Entity Type:Individual
Prefix:
First Name:CASSIA
Middle Name:TOLEDO PEDROSO
Last Name:BARROS
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 1:824 SE 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-5610
Mailing Address - Country:US
Mailing Address - Phone:954-532-9938
Mailing Address - Fax:
Practice Address - Street 1:824 SE 8TH AVE
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-5610
Practice Address - Country:US
Practice Address - Phone:954-532-9938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN165221223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry