Individual
RENE LUIS LANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
104 NW 100TH AVE, PLANTATION, FL 33324-7008
(786) 488-3796
Mailing address
104 NW 100TH AVE., PLANTATION, FL 33324
(786) 488-3796
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN18735
FL
Other
Enumeration date
07/10/2009
Last updated
12/16/2015
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