Provider Demographics
NPI:1578670907
Name:TENDERO, ALYNE (DDS)
Entity Type:Individual
Prefix:
First Name:ALYNE
Middle Name:
Last Name:TENDERO
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 1:6880 TAFT ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-5602
Mailing Address - Country:US
Mailing Address - Phone:954-987-4141
Mailing Address - Fax:954-962-2484
Practice Address - Street 1:6880 TAFT ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-5602
Practice Address - Country:US
Practice Address - Phone:954-987-4141
Practice Address - Fax:954-962-2484
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN15750122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist