MEDICARE: DR. LAUREN D TRIANA 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	1223G0001X	General Practice Dentistry	DN 18336	FL

General Provider Information

NPI Number	:	1952534158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN D TRIANA DMD

Provider Business Mailing Address
First Line	:	9 ISLAND AVE APT 1709
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-1341
Country	:	US
Telephone Number	:	786-271-7879
Fax Number	:

Provider Business Practice Location Address
First Line	:	9541 SW 72ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3247
Country	:	US
Telephone Number	:	305-595-1239
Fax Number	:	305-595-1241

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

Provider Enumeration Date	:	09/03/2009
Last Update Date	:	11/23/2016

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