Provider Demographics
NPI:1598979841
Name:PINO, ARMANDO (DDS)
Entity Type:Individual
Prefix:
First Name:ARMANDO
Middle Name:
Last Name:PINO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 IMMOKALEE RD STE 5
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1430
Mailing Address - Country:US
Mailing Address - Phone:239-592-0111
Mailing Address - Fax:239-592-0122
Practice Address - Street 1:2700 IMMOKALEE RD STE 5
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1430
Practice Address - Country:US
Practice Address - Phone:239-592-0111
Practice Address - Fax:239-592-0122
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN138701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice