Provider Demographics
NPI:1679663397
Name:TUGENDHAT, ERIKA PAOLA (DDS)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:PAOLA
Last Name:TUGENDHAT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 MAJORCA AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-3753
Mailing Address - Country:US
Mailing Address - Phone:305-442-2915
Mailing Address - Fax:305-442-2915
Practice Address - Street 1:1261 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-4003
Practice Address - Country:US
Practice Address - Phone:305-858-2545
Practice Address - Fax:305-858-2545
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN168641223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry