Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DN11690 | FL |
NPI | 1750343257 |
---|---|
Provider Name | Mrs. Haychell Aldana Saraydar |
First Address | St Petersburg, FL 33701-3109 |
Second Address | St Petersburg, FL 33701-3109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 09/07/2007 |