MEDICARE: DR. RENATA KLEINER 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	DN10551	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	:	1700902400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RENATA KLEINER DDS

Provider Business Mailing Address
First Line	:	9654 SW 72ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3250
Country	:	US
Telephone Number	:	305-598-3704
Fax Number	:	305-598-5819

Provider Business Practice Location Address
First Line	:	9654 SW 72ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3250
Country	:	US
Telephone Number	:	305-598-3704
Fax Number	:	305-598-5819

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

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	12/13/2019

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