MEDICARE: ANA MARIA NORENA DMD

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DN-16777	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326101973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA MARIA NORENA DMD

Provider Business Mailing Address
First Line	:	313 SEVEN ISLES DR
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-1532
Country	:	US
Telephone Number	:	954-525-1595
Fax Number	:

Provider Business Practice Location Address
First Line	:	313 SEVEN ISLES DR
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-1532
Country	:	US
Telephone Number	:	954-525-1595
Fax Number	:

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

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	02/15/2022

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