Provider Demographics
NPI:1750496006
Name:SAFIOTI, LUCIANA MOREIRA LIMA (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:LUCIANA
Middle Name:MOREIRA LIMA
Last Name:SAFIOTI
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9157 226TH PL NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-2059
Mailing Address - Country:US
Mailing Address - Phone:425-518-9128
Mailing Address - Fax:
Practice Address - Street 1:9157 226TH PL NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-2059
Practice Address - Country:US
Practice Address - Phone:425-518-9128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE 606819331223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics