Provider Demographics
NPI:1407521495
Name:PADRON GIRALDINO, LIENY (DDS)
Entity Type:Individual
Prefix:DR
First Name:LIENY
Middle Name:
Last Name:PADRON GIRALDINO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8640 NW 188TH TER APT 3402
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33015-7214
Mailing Address - Country:US
Mailing Address - Phone:305-767-5244
Mailing Address - Fax:
Practice Address - Street 1:8640 NW 188TH TER APT 3402
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33015-7214
Practice Address - Country:US
Practice Address - Phone:305-767-5244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN28591122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist