Provider Demographics
NPI:1780877175
Name:ALTSCHULER, TRICIA J (DMD)
Entity type:Individual
Prefix:DR
First Name:TRICIA
Middle Name:J
Last Name:ALTSCHULER
Suffix:
Gender:F
Credentials:DMD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9181 GLADES RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-3942
Mailing Address - Country:US
Mailing Address - Phone:561-482-4453
Mailing Address - Fax:561-482-9227
Practice Address - Street 1:9181 GLADES RD
Practice Address - Street 2:SUITE 120
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-3942
Practice Address - Country:US
Practice Address - Phone:561-482-4453
Practice Address - Fax:561-482-9227
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDN 166551223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry