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Rene Luis Landa, DMD

Dentist, Pediatric Dentistry in Plantation, FL. Individual provider (NPI-1).

NPI number1215166368
StatusActive
Last updated in NPPESDec 16, 2015

Details

NPI
1215166368
Entity type
Individual (NPI-1)
Name
Rene Luis Landa
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 10, 2009
Last updated
Dec 16, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric DentistryDN18735FLYes

Practice location

104 Nw 100th Ave
Plantation, FL 33324-7008

Phone 786-488-3796

Mailing address

104 Nw 100th Ave.
Plantation, FL 33324

Phone 786-488-3796

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