Lourdes Basulto, D.A

NPI 1942835574 · on the registry since 2020 · sole proprietor

Practice

Address: 4410 W 16th Ave Ste 52
Hialeah, FL 33012
Phone: (305) 825-9899
Fax: (305) 825-9858
Organisation at this address: Corium Inc
Ac Ortho Pllc
Holiday Cvs Llc
V&V Medical Center
Hialeah Foot Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 48

Registry record

Primary taxonomy: Dental Assistant
126800000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida