Individual
DR. BLANCA ROSA PENA MARRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
9332 SW 56TH ST, MIAMI, FL 33165
(786) 485-0276
Mailing address
9332 SW 56TH ST, MIAMI, FL 33165-6529
(786) 485-0276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN22276
FL
Other
Enumeration date
04/29/2014
Last updated
09/14/2019
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