Healthcare Provider Details

I. General information

NPI: 1124581194
Provider Name (Legal Business Name): LISET MARIA FRIAS FIGUEREDO DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2019
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 E 49TH ST STE 101
HIALEAH FL
33013-1966
US

IV. Provider business mailing address

12468 SW 121ST AVE
MIAMI FL
33186-5169
US

V. Phone/Fax

Practice location:
  • Phone: 786-687-0909
  • Fax: 786-687-0272
Mailing address:
  • Phone: 281-865-5379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN26257
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: