MEDICARE: SYLVIA MENTRASTI PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1114420379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYLVIA MENTRASTI PA

Provider Business Mailing Address
First Line	:	1314 N UNIVERSITY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6623
Country	:	US
Telephone Number	:	954-755-3337
Fax Number	:	844-201-2211

Provider Business Practice Location Address
First Line	:	1314 N UNIVERSITY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6623
Country	:	US
Telephone Number	:	954-755-3337
Fax Number	:	844-201-2211

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SYLVIA MENTRASTI
Credential	:	DMD
Telephone Number	:	954-755-3337

Provider Enumeration Date	:	03/14/2018
Last Update Date	:	03/14/2018

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