MEDICARE: DR. SHIRLEY KLEINER-ARIAS D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN 17874	FL
2	1223G0001X	General Practice Dentistry	051649	NY

General Provider Information

NPI Number	:	1316181803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHIRLEY KLEINER-ARIAS D.D.S

Provider Business Mailing Address
First Line	:	1730 NE 198TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33179-3148
Country	:	US
Telephone Number	:	917-609-6528
Fax Number	:

Provider Business Practice Location Address
First Line	:	1730 NE 198TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33179-3148
Country	:	US
Telephone Number	:	917-609-6528
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2009
Last Update Date	:	04/28/2009

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