Provider Demographics
NPI:1679861777
Name:NEDEA, ALINA FLORIA (DDS)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:FLORIA
Last Name:NEDEA
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 1:25823 HIGHWAY 290
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1020
Mailing Address - Country:US
Mailing Address - Phone:281-373-5559
Mailing Address - Fax:
Practice Address - Street 1:1218 SW MILITARY DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1535
Practice Address - Country:US
Practice Address - Phone:210-928-2814
Practice Address - Fax:956-718-4021
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28245122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist