Provider Demographics
NPI:1669574752
Name:CEDENO, RENE FRANCISCO (DMD)
Entity type:Individual
Prefix:DR
First Name:RENE
Middle Name:FRANCISCO
Last Name:CEDENO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:RENE
Other - Middle Name:FRANCISCO
Other - Last Name:CEDENO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD PA
Mailing Address - Street 1:8200 SW 117TH AVE
Mailing Address - Street 2:SUITE 408
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-3856
Mailing Address - Country:US
Mailing Address - Phone:305-598-4885
Mailing Address - Fax:305-596-4187
Practice Address - Street 1:8200 SW 117TH AVE
Practice Address - Street 2:SUITE 408
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-3856
Practice Address - Country:US
Practice Address - Phone:305-598-4885
Practice Address - Fax:305-596-4187
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 00145431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice