IndividualActive
Lourdes Basulto, D.A
NPI 1942835574 · Dental Assistant · Hialeah, FL
Provider details
- NPI number
- 1942835574
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- D.A
- Sex
- Female
- Sole proprietor
- Yes
- License
- DR134398 (FL)
Specialties & taxonomies
Dental Providers
Practice location
4410 W 16th Ave Ste 52
Hialeah, FL 33012-7193
Phone: (305) 825-9899
Fax: (305) 825-9858
Approximate (ZIP-level) locationGet directions
Mailing address
4410 W 16th Ave Ste 52
Hialeah, FL 33012-7193
Registry dates
- Enumerated
- 2020-03-04
- Last updated
- 2020-03-04
- Certified
- 2020-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.