Provider Demographics
NPI:1326101973
Name:NORENA, ANA MARIA (DMD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:MARIA
Last Name:NORENA
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 1:313 SEVEN ISLES DR
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-1532
Mailing Address - Country:US
Mailing Address - Phone:954-525-1595
Mailing Address - Fax:
Practice Address - Street 1:313 SEVEN ISLES DR
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-1532
Practice Address - Country:US
Practice Address - Phone:954-525-1595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN-167771223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics