Provider Demographics
NPI:1821427972
Name:FIGUEROA COHEN, FABRIANNE (DDS)
Entity Type:Individual
Prefix:
First Name:FABRIANNE
Middle Name:
Last Name:FIGUEROA COHEN
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 1:8280 NW 28TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3185
Mailing Address - Country:US
Mailing Address - Phone:954-479-9362
Mailing Address - Fax:
Practice Address - Street 1:8280 NW 28TH ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-3185
Practice Address - Country:US
Practice Address - Phone:954-479-9362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-08
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 214811223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics