Cano, Lourdes M

Cano, Lourdes M is an individual health care provider with primary practice located at 680 N University Dr , Pembroke Pines FL 33024-6738. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Cano, Lourdes M can be contacted via phone (954) 982-7645.

Contact Information

Primary practice address
680 N University Dr Pembroke Pines FL 33024-6738
Fax: (954) 538-6850
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN15630 Florida

Profile Details

NPI number 1093867947
LBN Legal business name Cano, Lourdes M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Nov 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093867947 NPPES
Florida MEDICAID 075361100

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