Provider Demographics
NPI:1366326886
Name:DENTAL ESTHETICA PLLC
Entity type:Organization
Organization Name:DENTAL ESTHETICA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BAHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABUAITA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:813-403-9674
Mailing Address - Street 1:7800 CURLEY ROAD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545
Mailing Address - Country:US
Mailing Address - Phone:813-680-4650
Mailing Address - Fax:813-680-0174
Practice Address - Street 1:7800 CURLEY ROAD
Practice Address - Street 2:SUITE 105
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545
Practice Address - Country:US
Practice Address - Phone:813-680-4650
Practice Address - Fax:813-680-0174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental