Provider Demographics
NPI:1184822918
Name:CORTADI, CLAUDIA BEATRIZ (DDS)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:BEATRIZ
Last Name:CORTADI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CLAUDIA
Other - Middle Name:
Other - Last Name:CORTADI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:351 SANTA FE DR STE 110
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5137
Mailing Address - Country:US
Mailing Address - Phone:760-334-0128
Mailing Address - Fax:
Practice Address - Street 1:130 S SOLANA HILLS DR
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2003
Practice Address - Country:US
Practice Address - Phone:858-259-8400
Practice Address - Fax:858-259-8060
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA451021223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty