Individual
DR. ADA L. PENATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.,P.A.
Contact information
Practice address
14609 SW 104TH ST, MIAMI, FL 33186-2905
(305) 388-3725
(305) 388-1745
Mailing address
14609 SW 104TH ST, MIAMI, FL 33186-2905
(305) 388-3725
(305) 388-1745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0011668
FL
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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