Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | DN 19306 | FL |
Y | 1223X0400X | Orthodontists | DN19306 | FL |
NPI | 1023302460 |
---|---|
Provider Name | Dr. Marianela Cardenas D'hers |
First Address | Doral, FL 33172-5053 |
Second Address | Cutler Bay, FL 33189-1800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2011 |
Last Update Date | 02/06/2011 |