Provider Demographics
NPI:1457453607
Name:NEWMAN, MARCELA PAOLA (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:MARCELA
Middle Name:PAOLA
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1195 WEEPING WILLOW WAY
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-4817
Mailing Address - Country:US
Mailing Address - Phone:954-665-0352
Mailing Address - Fax:
Practice Address - Street 1:1195 WEEPING WILLOW WAY
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33019-4817
Practice Address - Country:US
Practice Address - Phone:954-665-0352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI182811223G0001X
FLDN18.470122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice