Provider Demographics
NPI:1114333143
Name:IRAL PINEDA, JULIANA ANDREA (DMD)
Entity Type:Individual
Prefix:
First Name:JULIANA
Middle Name:ANDREA
Last Name:IRAL PINEDA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 N ORLANDO AVE STE 233
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2947
Mailing Address - Country:US
Mailing Address - Phone:407-622-1000
Mailing Address - Fax:
Practice Address - Street 1:501 N ORLANDO AVE STE 233
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2947
Practice Address - Country:US
Practice Address - Phone:407-622-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN239091223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry