Provider Demographics
NPI:1386660330
Name:ATANASIU, MIHAELA (DDS)
Entity type:Individual
Prefix:DR
First Name:MIHAELA
Middle Name:
Last Name:ATANASIU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7403 OCONNOR DR
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5509
Mailing Address - Country:US
Mailing Address - Phone:512-651-5090
Mailing Address - Fax:512-310-1268
Practice Address - Street 1:7403 OCONNOR DR
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5509
Practice Address - Country:US
Practice Address - Phone:512-651-5090
Practice Address - Fax:512-310-1268
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX288481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice