Provider Demographics
NPI:1629185509
Name:CABRERA, LADYS (DMD)
Entity type:Individual
Prefix:DR
First Name:LADYS
Middle Name:
Last Name:CABRERA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 COWPEN ROAD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014
Mailing Address - Country:US
Mailing Address - Phone:305-556-7595
Mailing Address - Fax:305-556-7597
Practice Address - Street 1:6500 COWPEN ROAD
Practice Address - Street 2:SUITE 203
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014
Practice Address - Country:US
Practice Address - Phone:305-556-7595
Practice Address - Fax:305-556-7597
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0142681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice