Provider Demographics
NPI:1437720539
Name:PAEZ, CATHERINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:PAEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:PAEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:5555 COLLINS AVE APT 12N
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2544
Mailing Address - Country:US
Mailing Address - Phone:954-394-0449
Mailing Address - Fax:
Practice Address - Street 1:5555 COLLINS AVE APT 12N
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2544
Practice Address - Country:US
Practice Address - Phone:954-394-0449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL268681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice