Provider Demographics
NPI:1194506543
Name:BREZEANU, CRISTINA (DMD)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:BREZEANU
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 1:100 BAYVIEW DR APT 226
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-5319
Mailing Address - Country:US
Mailing Address - Phone:514-664-0829
Mailing Address - Fax:
Practice Address - Street 1:1704 STIRLING RD
Practice Address - Street 2:
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004-3101
Practice Address - Country:US
Practice Address - Phone:954-364-0402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN28635122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist