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Dr. Nicole Maria Pena, DMD
General Practice Dentistry in Fort Lauderdale, Florida
NPI 1356970198

Nicole Maria Pena is a General Practice Dentistry based in Coral Gables, FL and is specialized in General Practice. Nicole Maria Pena practices in Fort Lauderdale, FL and has the professional credentials of DMD. The NPI Number for Nicole Maria Pena is 1356970198 and holds a License No. (Florida).

The current practice location address for Nicole Maria Pena is 1209 W Broward Blvd, Fort Lauderdale, FL and can be reached out via phone at 954-763-3358.

Location: 1209 W Broward Blvd, Fort Lauderdale, FL, 33134-4741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356970198
Provider Name
Nicole Maria Pena
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1209 W Broward Blvd, Fort Lauderdale, FL, 33134-4741
Phone Number
954-763-3358
Fax Number
Provider Enumeration Date
04/03/2020
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
1209 W Broward Blvd
City
Fort Lauderdale
State
Florida
Zip
33312-1640
Phone Number
954-763-3358
Fax Number
person
Provider Business Mailing Address Details
Address
1209 W Broward Blvd
City
Fort Lauderdale
State
Florida
Zip
33312-1640
Phone Number
954-763-3358
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
25547 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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