Provider Demographics
NPI:1760167654
Name:SZEF, SANDRA ANNA (DMD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:ANNA
Last Name:SZEF
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6559 CONNECTICUT AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-1112
Mailing Address - Country:US
Mailing Address - Phone:773-226-9601
Mailing Address - Fax:
Practice Address - Street 1:6559 CONNECTICUT AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-1112
Practice Address - Country:US
Practice Address - Phone:773-226-9601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN28011122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist