Individual
EDNA LORENA POLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5607 NW 27TH AVE STE 2, MIAMI, FL 33142-2826
(305) 637-6400
(305) 636-5155
Mailing address
5607 NW 27TH AVE STE 1, MIAMI, FL 33142-2826
(305) 805-1700
(305) 805-1715
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH26465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH26465
STATE LICENSE
FL
Enumeration date
03/03/2021
Last updated
10/02/2024
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