Provider Demographics
NPI:1841346327
Name:DADACIU, CORNELIA (DMD)
Entity type:Individual
Prefix:DR
First Name:CORNELIA
Middle Name:
Last Name:DADACIU
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 1:4510 EL CONQUISTADOR PKWY
Mailing Address - Street 2:APT #204
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34210-4056
Mailing Address - Country:US
Mailing Address - Phone:561-568-5789
Mailing Address - Fax:
Practice Address - Street 1:4510 EL CONQUISTADOR PKWY
Practice Address - Street 2:APT #204
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34210-4056
Practice Address - Country:US
Practice Address - Phone:561-568-5789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN21661122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist