MEDICARE: KATIA FRIEDMAN DMD

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	DN 16794	FL

General Provider Information

NPI Number	:	1861517385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIA FRIEDMAN DMD

Provider Business Mailing Address
First Line	:	9825 W SAMPLE RD STE 100
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4040
Country	:	US
Telephone Number	:	305-333-8211
Fax Number	:

Provider Business Practice Location Address
First Line	:	9825 W SAMPLE RD
Second Line	:	SUITE 100
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4040
Country	:	US
Telephone Number	:	305-333-8211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	02/19/2026

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