MEDICARE: DR. DALINDA A CANELA-PICHARDO 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	122300000X	Dentist	DN0014834	FL

General Provider Information

NPI Number	:	1831312040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DALINDA A CANELA-PICHARDO DDS

Provider Business Mailing Address
First Line	:	603 N FEDERAL HWY
Second Line	:	SUITE 2
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-4622
Country	:	US
Telephone Number	:	954-920-6616
Fax Number	:	954-920-2401

Provider Business Practice Location Address
First Line	:	603 N FEDERAL HWY
Second Line	:	SUITE 2
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-4622
Country	:	US
Telephone Number	:	954-920-6616
Fax Number	:	954-920-2401

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

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	07/08/2007

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