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Individual

DR. JEANNETTE PENA HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
5990 SW 40 ST, MIAMI, FL 33155-5202
(305) 667-8766
(305) 669-6260
Mailing address
5990 SW 40 ST, MIAMI, FL 33155-5202
(305) 667-8766
(305) 669-6260

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15026
FL

Other

Enumeration date
11/06/2006
Last updated
07/08/2007
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