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Leslie Raffety Pence, DMD
Pediatric Dentist in Miami Gardens, Florida
NPI 1609332337

Leslie Raffety Pence is a Pediatric Dentist based in Dania Beach, FL and is specialized in Pediatric Dentistry. Leslie Raffety Pence practices in Miami Gardens, FL and has the professional credentials of DMD. The NPI Number for Leslie Raffety Pence is 1609332337 and holds a License No. DN24831 (Florida).

The current practice location address for Leslie Raffety Pence is 18244 Nw 27Th Ave, Miami Gardens, FL and can be reached out via phone at 305-454-0911.

Location: 18244 Nw 27Th Ave, Miami Gardens, FL, 33004-5324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609332337
Provider Name
Leslie Raffety Pence
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
18244 Nw 27Th Ave, Miami Gardens, FL, 33004-5324
Phone Number
305-454-0911
Fax Number
Provider Enumeration Date
02/19/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
111659000 05 FL
institution
Provider Business Practice Location Address Details
Address
18244 Nw 27Th Ave
City
Miami Gardens
State
Florida
Zip
33056-3501
Phone Number
305-454-0911
Fax Number
person
Provider Business Mailing Address Details
Address
18244 Nw 27Th Ave
City
Miami Gardens
State
Florida
Zip
33056-3501
Phone Number
305-454-0911
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN24831 (Florida)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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