DR. Nicole Maria Pena, DMD

NPI #1356970198 in Fort Lauderdale, Florida

Provider Information

NPI Number: 1356970198
Entity Type: Individual
Name: DR. Nicole Maria Pena, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Apr 3, 2020
Last Updated: Mar 20, 2024

Practice Location

Address: 1209 W BROWARD BLVD
City: Fort Lauderdale
State: Florida
ZIP Code: 33312-1640
Phone: (954) 763-3358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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