Organization
FLORIDA CHILDREN'S DENTISTRY, P.A.
Active
Other names
ANIA CABRERIZO DMD PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD FETNER D.M.D (OWNER)
(305) 825-9899
Entity
Organization
Contact information
Practice address
4410 W 16TH AVE, #52, HIALEAH, FL 33012-7100
(305) 825-9899
Mailing address
4410 W 16TH AVE STE 47, HIALEAH, FL 33012-7193
(305) 825-9899
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114162200
—
FL
05
—
114162201
—
FL
05
—
114162202
—
FL
05
—
114162205
—
FL
Enumeration date
09/27/2012
Last updated
01/26/2024
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