Provider Demographics
NPI:1982429031
Name:NESTERENCO, IULIA (DDS)
Entity type:Individual
Prefix:DR
First Name:IULIA
Middle Name:
Last Name:NESTERENCO
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1663 BRANDYWINE RD APT 5217
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-2097
Mailing Address - Country:US
Mailing Address - Phone:561-344-5523
Mailing Address - Fax:
Practice Address - Street 1:13286 FIJI WAY
Practice Address - Street 2:
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-7119
Practice Address - Country:US
Practice Address - Phone:561-344-5523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-22
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111015122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist