Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angelina Alekseevna Mitianova

Individual provider Dentist · NPI 1578361069

Angelina Alekseevna Mitianova is a Dentist in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2025.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

1324 SE 17th St
Fort Lauderdale, FL 33316-1708
Phone: (954) 998-3527
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN30997 (FL)

Record details

NPI number1578361069
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 3, 2025
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

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