Provider Demographics
NPI:1942427869
Name:STADLER, NATALIA ALVARADO (DMD)
Entity Type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:ALVARADO
Last Name:STADLER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:NATALIA
Other - Middle Name:
Other - Last Name:STADLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:2323 NE 26TH AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-1147
Mailing Address - Country:US
Mailing Address - Phone:954-941-5550
Mailing Address - Fax:954-628-5066
Practice Address - Street 1:2323 NE 26TH AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-1147
Practice Address - Country:US
Practice Address - Phone:954-941-5550
Practice Address - Fax:954-628-5066
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 153621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice