Provider Demographics
NPI:1831312040
Name:CANELA-PICHARDO, DALINDA A (DDS)
Entity type:Individual
Prefix:DR
First Name:DALINDA
Middle Name:A
Last Name:CANELA-PICHARDO
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 1:603 N FEDERAL HWY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-4622
Mailing Address - Country:US
Mailing Address - Phone:954-920-6616
Mailing Address - Fax:954-920-2401
Practice Address - Street 1:603 N FEDERAL HWY
Practice Address - Street 2:SUITE 2
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-4622
Practice Address - Country:US
Practice Address - Phone:954-920-6616
Practice Address - Fax:954-920-2401
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN0014834122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist