Healthcare Provider Details

I. General information

NPI: 1679861777
Provider Name (Legal Business Name): ALINA FLORIA NEDEA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2011
Last Update Date: 08/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1218 SW MILITARY DR
SAN ANTONIO TX
78221-1535
US

IV. Provider business mailing address

25823 HIGHWAY 290
CYPRESS TX
77429-1020
US

V. Phone/Fax

Practice location:
  • Phone: 210-928-2814
  • Fax: 956-718-4021
Mailing address:
  • Phone: 281-373-5559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number28245
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: