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DR. LAURA M. DE PENA D.M.D.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1710328141

Individual Registrant:
DR. LAURA M. DE PENA D.M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
16919 N BAY RD #509 SUNNY ISLES BEACH, FL 33160-4253 US
Tel: 561-506-8692  Fax: --

Contact information for business:
16919 N BAY RD APT. 509 SUNNY ISLES BEACH, FL 33160-4253 US
Tel: 561-506-8692  Fax: --

Registration Information:
NPI: 1710328141
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
FLDN20244

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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