Provider Demographics
NPI:1528721206
Name:CURVELO MARQUEZ, YADANIS DANIELA (RDH)
Entity type:Individual
Prefix:
First Name:YADANIS
Middle Name:DANIELA
Last Name:CURVELO MARQUEZ
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:YADANIS
Other - Middle Name:DANIELA
Other - Last Name:CURVELO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RDH
Mailing Address - Street 1:8452 MAGNIFICENT LN
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:FL
Mailing Address - Zip Code:34736-0016
Mailing Address - Country:US
Mailing Address - Phone:321-696-6355
Mailing Address - Fax:
Practice Address - Street 1:4401 S ORANGE AVE STE 106
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-6968
Practice Address - Country:US
Practice Address - Phone:407-851-2255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL28942124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist