MEDICARE: RENATA F.CUNHA, DDS, PA

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	DN19528	FL

General Provider Information

NPI Number	:	1548528490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENATA F.CUNHA, DDS, PA

Provider Business Mailing Address
First Line	:	1990 N FEDERAL HWY STE B
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-1032
Country	:	US
Telephone Number	:	305-546-4218
Fax Number	:

Provider Business Practice Location Address
First Line	:	1990 N FEDERAL HWY
Second Line	:	SUITE B
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-1032
Country	:	US
Telephone Number	:	305-546-4218
Fax Number	:

Authorized Official
Title or Position	:	DENTIST-OWNER
Name	:	DR. RENATA F CUNHA
Credential	:	DDS
Telephone Number	:	305-546-4218

Provider Enumeration Date	:	04/29/2012
Last Update Date	:	03/07/2023

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