Healthcare Provider Details

I. General information

NPI: 1386675841
Provider Name (Legal Business Name): ASHKA SONI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 09/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 SW 62ND AVE TOOTHTOWN DEPARTMENT
MIAMI FL
33155-3009
US

IV. Provider business mailing address

690 SW 1ST CT APT #1710
MIAMI FL
33130-2903
US

V. Phone/Fax

Practice location:
  • Phone: 305-663-8576
  • Fax: 305-662-8314
Mailing address:
  • Phone: 786-368-3706
  • Fax: 305-662-8314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDN17026
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: