Provider Demographics
NPI:1548878309
Name:ATTUNE DENTISTRY PA
Entity type:Organization
Organization Name:ATTUNE DENTISTRY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:C
Authorized Official - Last Name:DIAZ VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:719-930-3776
Mailing Address - Street 1:4750 N FEDERAL HWY STE 16
Mailing Address - Street 2:
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33064-6553
Mailing Address - Country:US
Mailing Address - Phone:561-702-0039
Mailing Address - Fax:561-931-3994
Practice Address - Street 1:4750 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:LIGHTHOUSE POINT
Practice Address - State:FL
Practice Address - Zip Code:33064-6553
Practice Address - Country:US
Practice Address - Phone:561-702-0039
Practice Address - Fax:561-931-3994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental