Provider Demographics
NPI:1861517385
Name:NATAF FRIEDMAN, KATIA (DDS)
Entity type:Individual
Prefix:
First Name:KATIA
Middle Name:
Last Name:NATAF FRIEDMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9825 W SAMPLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4040
Mailing Address - Country:US
Mailing Address - Phone:305-333-8211
Mailing Address - Fax:
Practice Address - Street 1:9825 W SAMPLE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4040
Practice Address - Country:US
Practice Address - Phone:305-333-8211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 167941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice