Provider Demographics
NPI:1013602408
Name:TORINO REGINATO, GRAZIELA (DDS)
Entity Type:Individual
Prefix:
First Name:GRAZIELA
Middle Name:
Last Name:TORINO REGINATO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:GRAZIELA
Other - Middle Name:
Other - Last Name:TORINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:7735 CITRUS HILL LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-0606
Mailing Address - Country:US
Mailing Address - Phone:786-780-4170
Mailing Address - Fax:
Practice Address - Street 1:750 E 25TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3817
Practice Address - Country:US
Practice Address - Phone:305-694-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDRPM25711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice