Provider Demographics
NPI:1831336775
Name:SUAREZ, LINA F (DDS)
Entity type:Individual
Prefix:DR
First Name:LINA
Middle Name:F
Last Name:SUAREZ
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 1:8903 W OAKLAND PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7217
Mailing Address - Country:US
Mailing Address - Phone:954-578-8815
Mailing Address - Fax:954-578-8813
Practice Address - Street 1:8903 W OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7217
Practice Address - Country:US
Practice Address - Phone:954-578-8815
Practice Address - Fax:954-578-8813
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-14
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL146321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice