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

Lourdes Basulto, DA

Individual provider Dental Assistant · NPI 1942835574

Lourdes Basulto, DA is a Dental Assistant in Hialeah, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

4410 W 16th Ave Ste 52
Hialeah, FL 33012-7193
Phone: (305) 825-9899
Fax: (305) 825-9858
Show map & directions

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

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence DR134398 (FL)

Record details

NPI number1942835574
Entity typeIndividual (Type 1)
GenderFemale
Credentials DA
Sole proprietorYes
NPI enumeratedMarch 4, 2020
Last updated in NPPESMarch 4, 2020
Certification dateMarch 4, 2020
Mailing address4410 W 16th Ave Ste 52, Hialeah, FL 33012-7193

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