Healthcare Provider Details

I. General information

NPI: 1437965167
Provider Name (Legal Business Name): BRUNA MAYARA GARBIN PAES DE BARROS DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2024
Last Update Date: 01/18/2026
Certification Date: 01/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 NE 214TH ST STE 700
AVENTURA FL
33180-1269
US

IV. Provider business mailing address

17913 NW 7TH ST STE 103
PEMBROKE PINES FL
33029-2811
US

V. Phone/Fax

Practice location:
  • Phone: 954-551-0125
  • Fax:
Mailing address:
  • Phone: 954-391-8309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN29175
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN29175
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: