Provider Demographics
NPI:1730347857
Name:PRYSZLAK, CLAUDIA (DMD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:
Last Name:PRYSZLAK
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 1:7332 OFFICE PARK PL
Mailing Address - Street 2:SUITE 102
Mailing Address - City:VIERA
Mailing Address - State:FL
Mailing Address - Zip Code:32940-8241
Mailing Address - Country:US
Mailing Address - Phone:321-255-7740
Mailing Address - Fax:321-255-7533
Practice Address - Street 1:7332 OFFICE PARK PL
Practice Address - Street 2:SUITE 102
Practice Address - City:VIERA
Practice Address - State:FL
Practice Address - Zip Code:32940-8241
Practice Address - Country:US
Practice Address - Phone:321-255-7740
Practice Address - Fax:321-255-7533
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN14774122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist