Provider Demographics
NPI:1306135090
Name:CIMA DENTAL LLC
Entity type:Organization
Organization Name:CIMA DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ALEJANDRA
Authorized Official - Last Name:SEMPRUN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-924-5101
Mailing Address - Street 1:5481 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 103A
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4643
Mailing Address - Country:US
Mailing Address - Phone:954-575-0880
Mailing Address - Fax:
Practice Address - Street 1:5481 N UNIVERSITY DR
Practice Address - Street 2:SUITE 103A
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-4643
Practice Address - Country:US
Practice Address - Phone:954-575-0880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN19155261QD0000X
FLDN19062261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental