Provider Demographics
NPI:1134416258
Name:BELLO, JENNY (DDS)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:BELLO
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 1:3801 S OCEAN DR APT 7E
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-2978
Mailing Address - Country:US
Mailing Address - Phone:305-300-0019
Mailing Address - Fax:305-827-6411
Practice Address - Street 1:3801 S OCEAN DR APT 7E
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33019-2978
Practice Address - Country:US
Practice Address - Phone:305-300-0019
Practice Address - Fax:305-827-6411
Is Sole Proprietor?:No
Enumeration Date:2011-07-10
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20435122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist