Provider Demographics
NPI:1265160402
Name:INFANTE ZAMBRANO, CRISTINA (DDS)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:INFANTE ZAMBRANO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4425 PETAL DR UNIT 111
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-6335
Mailing Address - Country:US
Mailing Address - Phone:786-288-9899
Mailing Address - Fax:
Practice Address - Street 1:8615 COLLIER BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114-3550
Practice Address - Country:US
Practice Address - Phone:786-288-9899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-14
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN27458122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist