MEDICARE: DR. RENATA CUNHA DDS

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	DE60156700	WA
2	1223G0001X	General Practice Dentistry	FC DN 19528	FL

General Provider Information

NPI Number	:	1366761389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RENATA CUNHA DDS

Provider Business Mailing Address
First Line	:	1990 N. FEDERAL HWY #B
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062
Country	:	US
Telephone Number	:	954-840-6619
Fax Number	:	754-220-6054

Provider Business Practice Location Address
First Line	:	1990 N FEDERAL HWY STE B
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-1032
Country	:	US
Telephone Number	:	954-840-6619
Fax Number	:	754-220-6054

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

Provider Enumeration Date	:	06/01/2010
Last Update Date	:	09/27/2013

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